The Assembly met at 13:30 with the Llywydd (Elin Jones) in the Chair.

I call Members to order.

1. Questions to the First Minister

The first item on our agenda this afternoon is questions to the First Minister, and the first question, Gareth Bennett.

Accessibility of Trains

Gareth Bennett AC: 1. Will the First Minister make a statement on the accessibility of trains for persons of reduced mobility? OAQ52130

Carwyn Jones AC: Yes. By 31 December of next year, all trains must include provisions for people of reduced mobility, in line with European Union and United Kingdom Government standards, and the procurement documents for the Wales and borders rail services contract will mandate compliance with people of reduced mobility standards.

Gareth Bennett AC: Thanks for that. We know that we are going to have a new train operator in Wales from next year. The problem is that the new operator may not be able to get new rolling stock for perhaps four years, so it could be that, in order to comply with that legislation that you stated, we may have a tactic of the new train operator having to, or believing they have to, leave toilets locked up on the trains, meaning that nobody can use them. Do you see that as a potential problem for the new franchisee?

Carwyn Jones AC: No, under no circumstances will toilets be allowed to be locked.

Russell George AC: First Minister, one of the frustrations for disabled passengers is that many trains only have a single wheelchair space, which is too often taken up by pushchairs or luggage. Now, I've been informed that, in Australia, a whole carriage is dedicated to those passengers with reduced mobility, where there are additional spaces for wheelchair users. Can you outline a bit more detail on how the next rail franchise will cater for the needs of those with reduced mobility?

Carwyn Jones AC: Well, we wouldn't want a situation where those people who are in wheelchairs are effectively segragated—and the Member is not suggesting that, in fairness. It's hugely important that people are able to travel on all sections of the train. Coming back to the point I made earlier on, the technical specification, as I said, will need to be complied with by 31 December next year. I can say that agreements are already in place to modify asignificant proportion of the existing rolling stock, and plans are in place to deal with the pacer trains. Some of the existing fleet already meet the compliance requirements, but, by the end of next year, all of them will have to.

Adam Price AC: I'd be grateful if the First Minister could just clarify: has the Welsh Government requested in its specification from the bidders that all trains in the metro will havetoilet facilities that are compliant with the new rules on board?

Carwyn Jones AC: What I can say is that we're considering a number of options at the moment. If the trains don't have—[Interruption.] Well, if the trains don't have toilets on board, then we would expect the operator to provide very much enhanced services at stations in order to ensure that people feel comfortable when they are travelling. There are, of course, examples of metro services elsewhere, such as in Greater Manchester, where there are no toilets on board, and quite often there are no facilities for passengers who wish to use a toilet. That is not what we want; we want to make sure that people are able to access toilet facilities as easily as possible.

Rhianon Passmore AC: First Minister, Cabinet Secretary Ken Skates has been proactive in setting out the Welsh Government's ambitions for rolling stock fit for a twenty-first century rail network. In July last year, Ken Skates stated, and I quote,
'I've made no secret of the difficulty in adding good quality rolling stock in Wales',
and it's been absolutely clear that the next franchise—the Welsh Government's first—must have the passenger at its heart. First Minister, this commitment of the Welsh Labour Government can be evidenced by Wales being selected by Construcciones y Auxiliar de Ferrocarriles as the new location for its new centre of excellence for the manufacture of UK rolling stock. What opportunities, in the First Minister's opinion, will £30 million of investment, and the creation of 300 high-calibre jobs in a facility that assembles, tests, and commissions new railway vehicles, afford the railway industry to ensure the accessibility of trains for persons of reduced mobility in Wales?

Carwyn Jones AC: Very much so. This is one of the biggest public transport projects outside of London. It will utilise, of course, some of the existing lines that are already there. They're all heavy rail at the moment, and we'll need to see which will remain as heavy rail, which will be converted to light rail, which new routes would then be rolled out using light rail, alongside some of the existing routes that have rail tracks on them but haven't been used for many, many years. These are all matters that are being considered as part of the franchise tendering process.

Strategic Development Plan for South-east Wales

Hefin David AC: 2. What discussions has the Welsh Government had with the cabinet for the Cardiff capital region with regard to a strategic development plan for south-east Wales? OAQ52154

Carwyn Jones AC: Ministers and officials have met representatives from the Cardiff capital region cabinet several times since October 2015 to promote the preparation of a strategic development plan for the south-east of Wales. The next step now is that the cabinetmust identifya responsibleauthority so that formal preparation of the plan for the region can begin.

Hefin David AC: On 27 April, elected representatives of the Cardiff capital region wrote tothe Cabinet Secretary for Energy, Planning and Rural Affairs and said they firmly believe that the best opportunity to deliver positive planning outcomes and deliver the transformational change is to prepare a strategic development plan for the region that is genuinely a regional plan, based on regional evidence, rather than a plan that simply knits together existing local development plans. They added that if the Welsh Government continues to force all seven local planning authorities with the 2021 planned expiry date to review their LDPs, there will not be sufficientresource within the region to progress the SDP and this opportunity will be lost for many years. Basically, what they'resaying is that we need to move ahead with thestrategic development plan, and we can't then review LDPs in the depth that the Government wants with those resources. There's a choice to be made, and I urge the Government to back a strategic development plan for south-east Wales.

Carwyn Jones AC: First of all, we want to see a strategic development plan, but it's hugely importantthat thereare LDPs in place because if LDPs run past their expiry date, if I can put it that way, then, of course, often you can get uncontrolled development because applicationswill come in in the absence of a developmentplan. We want to see a strategic development plan, but the ball is in the court of the region. They must identifya responsible authority now, and then, of course, we can commence the process. We want to work with them to develop a strategic developmentplan. That is, by far, the most sensible approach—he has said it himself in this Chamber—but it is important nowthat they do identify which authority is going to be responsiblefor its development.

Mohammad Asghar (Oscar) AC: First Minister, any plan to secure the maximum economic benefit from the Cardiff capital region must include a relief road for the M4. I have been contacted by a number of business owners who have expressed their dismay that the Cabinet Secretary for Finance, and your potential successor, recently appeared to pour cold water on the proposed black route. As one business ownersaid,
'This is not a picture of Wales open for business.'
First Minister, in your Government's discussion with the Cardiff capital region cabinet, have you committed, and will you continue to commit, to building a relief road for the M4 in or around Newport please?

Carwyn Jones AC: Well, first of all, I think it's only fair to point out the context in which the comments were made by the Cabinet Secretary for Finance. He wassaying quite properly that cost is clearly an issue. Of course it is. He would not be acting in his role as Cabinet Secretary for Finance if he didn't point that out. And that is an issue, but not the only issue, of course, that will need to be considered. Now, just to remind Members, what will happen is that when the planning inspector's report is received—we expect in thesummer or the early autumn—that will be the time to give consideration to that report, and a decision will then be taken as to which route is the way ahead. What we do know is that the congestion will not improve in theBrynglas tunnels—that much is, to me, obvious. But I have to keep an open mind on which route shouldbe taken forward becauseI will be the person taking the decision. And so, when the inspector's report arrives on my desk, that and any other relevant considerations will form part of my thinking.

Questions Without Notice from the Party Leaders

Questions now from party leaders. The leader of the opposition, Andrew R.T. Davies.

Andrew RT Davies AC: Thank you, Presiding Officer. First Minister, last week, we had the report into Tawel Fan up in north Wales, and many Members have had the weekend to digest the contents of thatreport. One of the startling conclusions of thereport was the mishandling of the creation of Betsi as a health board for north Wales. It talked of lines of accountability that were impossible to track; a rift between the health board and the ward into how to deal with patient safety; clinical policy was seriously flawed; and senior nurse leaders were disrespected and ignored. All that was the language that was in the report, on their thoughts about the creation of Betsi as a health board for north Wales. You were a Minister in the Government that made the reorganisation of the health servicein 2009 a possibility, and you've been First Ministerfor the duration of that health board's existence up in north Wales. Do you now not regret the way that that reorganisation was undertaken in northWales, which has led to such observations and, indeed, can directly be correlated to some of the findings of the mistreatment on the Tawel Fan ward?

Carwyn Jones AC: Well, first of all, it's clear that the report contains findings that will need to be acted on. It's far from a whitewash, as was described by one member of his party.It's a report that does identify many of the difficulties that are rightly there for all to see and will need to be acted upon. I don't believe that, in principle, the reorganisation of the health service at that time was a bad idea. We haven't seen similar situations occurringelsewhere, but it is clear that, as far as Betsi is concerned, they will need to act on the report's findings, and as a Government we will support them in order to deliver what the people of the north of Wales would expect to see in terms of rectifying what has been found to be wanting in this report.

Andrew RT Davies AC: First Minister, I appreciate your answer, but, really, these findings in the report point clearly to that reorganisation as being the starting point of many of the problems that accumulated in the events on the Tawel Fan ward. I have asked you whether you have any regrets about that reorganisation and, if you had your time again, would you do that reorganisation differently? When you have such a report that talks about accountability being impossible to track, where you have a rift between the health board and the ward, when you have seriously flawed clinical policy, andwhen senior nurse leaders were disrespected and ignored, because of the process that you politically, as a Government, put in place at that time, then surely, on reflection, you can reflect on the point that all measures were not taken in the right manner to put a health board in place to deliver a first-class health service in north Wales. And is it not now incumbent on the Government to actually start delivering that first-class health service for north Wales?

Carwyn Jones AC: First of all, I don't accept that reorganisation was a major cause in terms of what happened at Tawel Fan, although it was obviouslypart of it. If that were the case, then we would see problems with reorganisation across Wales and, indeed, in other wards and other hospitals across north Wales as well. That it is a factor is something to consider. Now, people will want to know what happens next, because the report is there and it needs to be acted upon. Well, the recommendations are clear. The Cabinet Secretary for Health and Social Services will be making a statement later on this afternoon, explaining to Members what the future plans are, but it is important, of course, that the plan is acted upon and that is what we intend to do as a Government.

Andrew RT Davies AC: I regret that you couldn't identify the flaws that the report identified as being at the heart of the reorganisation that happened in 2009. The language that I used was directly taken from the report, and, obviously, that is what the investigations have unearthed.
But, moving on, First Minister, the health board has now been in special measures for three years—or nearly three years, should I say. In an interview you gave to the BBC some two weeks ago, you said that there was no unfinished business left now that your term as First Minister was coming to a close. We could debate that across this Chamber and we most probably wouldn't move much further forward, but one thing certainly residents in north Wales would appreciate an understanding of—. Given that you think there's no unfinished business, surely one of the items of business that needs to be addressed is the normalisation of the structures that Betsi operates under, rather than direct Government control. So, do you believe that by the time you step down as First Minister, Betsi will be out of special measures come December of this year?

Carwyn Jones AC: Well, I suppose there will always be things that will need to continue to be proceeded with when you leave office. That's inevitable. But, for me, what's important is that people continue to see a continued improvement in the health service across the north of Wales. I have never been prepared to put a time limit on when Betsi should come out of special measures. It will remain in special measures for as long as is necessary to ensure continuous improvement. How long that will be will depend, of course, on us being satisfied that there is sufficient progress to enable us to release Betsi from special measures. That's not the case at the moment, and I don't think it would be wise to put a particular date on that.

The leader of the UKIP group, Neil Hamilton.

Neil Hamilton AC: Diolch, Llywydd. The Welsh Government remains committed to the universal adoption of the Welsh baccalaureate, but the elite universities don't seem to be terribly interested in it as a qualification, indeed the top three universities don't require it at all. I've been written to by a school student who says that the Welsh bac is a burden for students and teachers alike and the work is tedious and not useful for more able students, and because these two subjects are compulsory for year nines it willbe very difficult to compete with English pupils for jobs and university places as they'll have done two more valuable subjects. So, in the circumstances, does the First Minister not see that this is at best a distraction from more useful use of time in schools?

Carwyn Jones AC: Well, it's not correct to saythat the Welsh bac is not recognised by the top universities, as he put it. People do recognise it for the breadth it givesto the skills that students are able to acquire when they're in school. My son is in school: I've seen the work that he does via the Welsh bac and, I have to say, both he and I found it extremely useful, because it takes him beyond looking at just academic subjects and enables him to develop more as an individual and therefore have a more rounded education. I believe that students, whatever level they leave full-time education, are more employable as a result of the skills that the Welsh bac gives them.

Neil Hamilton AC: Well, that is a debatable point in itself, I believe—it's not one I'm going to pursue at this minute, but, to take the wider point that the First Minister has raised, yes, I do agree that the Welsh baccalaureate course might have some use beyond formal learning in classrooms, making students think about widerissues in the world. That, in itself, could be a good thing. It depends on how the course is structured and how it is taught. One of the things that the Welsh bac contains is a global citizen challenge, which deals with issues such as cultural diversity, fair trade, future energy, inequality and poverty. These are all highly political topics, which need to be taught in a balanced way if education is not to degrade itself into mere propaganda. There are serious debates, for example, about the causes of poverty in other parts of the world: why is a potentiallyrich country likeVenezuela reduced to destitution? We know that's because it has a Corbynite Government. Why is a country like Singapore, which has virtually no natural resources, now the country in the world that has the highest per capita income? None of this features in the Welsh baccalaureate course on poverty. So, does the First Ministernot agree with me that we need to be very careful about the way these political subjects are taught in schools to make sure that the course is balanced and it teaches students how to think critically about issues, rather thanjust to swallow what they're told?

Carwyn Jones AC: I trust our teachers, bluntly,and I also trust our students to be able to think critically for themselves. There are education systems that, if you look at the Programme for International Student Assessment, perform better on the figures than ours, but I'm not sure they necessarily give students the ability to think critically. They can pass exams, but that's not the same as being prepared for the world of work or to think about the world around them. The issues that he has identified there are surely issues that concern us all. There'll be different views on how to address inequality, differentviews on how to address poverty, nevertheless, they are hugely important issues that I think every young person needs to think about. But I've seen no examples at all of any kind of bias being introduced into the curriculum, and, from my perspective, I think it's hugely important that our students do have the ability to go beyond academic subjects, because I think it makes them more rounded individuals when they do think more critically and more widely.

Neil Hamilton AC: Well, all I can say is, having looked at the various materials that are used in teaching these courses, they're all from a centre-left disposition. Now, we can all—[Interruption.] Well, matter of fact—and I think the false indignation coming from the other side proves the point that I'm trying to makehere, that, because they control the education system, it is being used as a tool of propaganda. There is nothing, for example, in the topic of wind energy that calls into question the efficacy of this even to deal with the problems of man-made global warming if that is held to be a problem.So, what I'm saying to the First Minister is that parents should be very worried. And, yes, the First Minister has said he trusts teachers, and, of course, I'm not saying that teachers set out in order to propagandise children, but the mindset of a teacher is very important as a background to this, and considering that 72 per cent of secondary school teachers, according to the Times Educational Supplement, vote Labour, 10 per cent vote Liberal, only 8 per cent vote Conservative, there is clearly—[Interruption.] There is—[Interruption.] Well—[Interruption.] That, of course—[Interruption.] That, of course, is a highly unrepresentative sample of the population as a whole. And, therefore, even if bias is subconscious, it must be regarded as a potential danger.

Carwyn Jones AC: You do wonder. Well, it's quite clear whyteachers are reluctant to voteUKIPthen, given what they've just heard. I do wonder, listening to the leader of UKIP, whether he regards, from his perspective, George W. Bush as a dangerous communist, because—. Was he somebody, for example, who backed section 28 of the Local Government Act 1988 and the demonising of gay and lesbian people as a result of that? Well, if he did, and I think I'm right in saying that he did do exactly that, then, yes, anything is centre-left from his perspective.From our perspective, we want to make sure that young people get a balanced view of the world and not a view that says, for example, well, man-made, as he put it, global warming, if such a thing exists—the vast weight of evidence supports that. The fact that a few people choose to say it differently doesn't mean that the proper weight should be given to their evidence, because there are so few of them.If he is really saying that the point of teaching young people, through the Welsh bac, information about energy, for example, is to ignore the full weight of science, then that gives us some idea of what he would like to be taught in our schools. We prefer balance; he wants right-wing revisionism.

Plaid Cymru leader, Leanne Wood.

Leanne Wood AC: Diolch, Llywydd. The EU withdrawal Bill, as amended, will still allow the Assembly's competence to be restricted without its consent, and the inter-governmental agreement does not provide water-tight assurance that this will not happen. Does the First Minister agree or disagree with that statement?

Carwyn Jones AC: I disagree with the way that it's been put, because I think we've come a long way from where the UK Government were; they have given a lot of ground. It's not ideal from our perspective, of course not, but the nature of an agreement is that you come to ground that you believe to be common ground. Whatthe agreement says is that the UK Governmentwill not normally legislate in devolved areas. That simply reflects what's already said in the devolved settlements across the UK. It is something, I think, that will need to be addressed in the future, but I believe we have an agreement that shows that a lot of ground has been given by the UK Government, particularly the introduction, in effect, of the Sewel convention into secondary legislation, something that didn't exist in the same way before, and I believe it gives us the protection that we need. We will, of course, be very vigilant in making sure that the UK Government keeps to the terms of the agreement.

Leanne Wood AC: The words in that statement, First Minister, were not my words. They were taken from an analysisby the National Assembly for Wales's legal team that confirms the damning repercussions of the dodgy deal between the Tories in Westminster and your Labour Government.Last week, Labour frontbench Members claimed that Plaid Cymru didn't understand the outcome of this deal when it came to the powers of this Assembly and its ability to withhold consent. First Minister, the legal advice shows the opposite to be true. The advice says any indication that this Assembly will be able to block Westminster by withholding consent is, and I quote, 'misleading'. It goes on to say, and I quote again,'the Assembly's competence can be restricted without its consent'.Does the First Minister agree with the Assembly's lawyers that Westminster can now meddle in our Assembly and there is absolutely nothing we can do about it?

Carwyn Jones AC: The way she presents—. This has been the case since 1999; it's not new. The reality is that it's always been the case, both in Scotland and in Wales, that the UK Parliament—the expression is 'would not normally legislate' in devolved areas, but it's always been able to do it because of the doctrine of parliamentary sovereignty. The agreement's not going to change that. Now, in the future, I agree that there needs to be a debate about whether parliamentary sovereignty is appropriate—and I've said it before—publicly, for the future. I think we do need to move to a constitutional settlement that recognises that there are different centres of democratic legitimacy within the UK itself.But, as far as the current devolution settlement is concerned, we now have a situation where, in effect, there will be a very high political cost for any UK Government to pay if it wished just to ram through whatever it wanted to. Can I say as well, if it was the case that the UK Government wanted to ignore completely the Assemblyor Scottish Parliament, it would'vedone so already? It hasn't done so—not for me to defend it, and I don't do it often—but, in reality, the UK Government has come to an agreement where they have conceded, I recognise, a great deal of ground. And we are in a position where—whilst we would have preferred to get rid of clause 11 completely, we are in a position where safeguards, sufficient safeguards, have been put into clause 11. A level playing field has been created in terms of the making of legislation that we were nowhere close to a year ago. I certainly pay tribute to my colleague, Mark Drakeford, for the work that he did on a week-to-week basis in coming to the agreement that we did.

Leanne Wood AC: First Minister, this is a dodgy deal, and it's one that you have signed up to. And it's not simply created constitutional chaos. Your decision to give this Bill consent will have ramifications for our economy as well. Whilst your party is all over the place on this question, your Ministers and Labour Members continue to campaign for membership of a customs union. By advising that we consent to the withdrawal Bill, however, you are serving up a hard Brexit to the Tories on a plate. Will the First Minister confirm that he understands that by consenting to the withdrawal Bill he is ensuring thatit is Westminster that will decide whether Wales leaves the customs union and the single market?

Carwyn Jones AC: Well, it was always the case that, in law, it's Westminster that decides whether we leave the customs union. In reality, as she has heard me say many, many times, that would be madness as far as the UK is concerned. It is hugely important thatthe UK remains within the customs union. Trade policy is not devolved—that is reality. But we have ensured that we have a voice to make sure that the voice of Wales is heard.
I have to say, last week—I listened to Plaid Cymru last week; it was almost as if there were two different debates. I listened to Rhun ap Iorwerth and what he said—a measured, detailed response. It was a measured, detailed response compared to whatwe had before from the leader of Plaid Cymru, where she used words like 'capitulation', 'betrayal', 'dodgy deal'. She sounds like Jacob Rees-Mogg when talking about Brexit. I don't mind criticism, but at least—[Interruption.] Let's look at the detail. Let's look at the detail. [Interruption.] Let's look at the detail. If there are disagreements on the detail, fine, but, in the answers that I gave, not once did she come back to me and say, 'Well, look, what about this? What about this? How does that provide us with reassurance?' I have to say that I thought the answer that was given by, or the speech that was given by, Rhun ap Iorwerth, certainly, last week, was measured and something, I thought, on which we could have a proper debate.

The Availability of Out-of-hours Doctors

Adam Price AC: 3. Will the First Minister make a statement on the availability of out-of-hours doctors in the Hywel Dda University Health Board area? OAQ52153

Carwyn Jones AC: I expect Hywel Dda Local Health Board to provide a range of safe and effective services out of hours to respond to the urgent healthcare needs of their population when GP surgeries are closed.

Adam Price AC: Well, perhaps the Welsh Government expect them to do that, but, on a number of occasions this year, patients within Hywel Dda have been left without out-of-hours cover on weekends, because of what the health board itself describes as a dire shortage of GPs. It affects the three counties within their area, but it is specifically having an impact on Carmarthenshire, because of particular problems at Glangwili and Prince Philip hospitals.Now, the health board itself has apologised to patients on a number of occasions. Is the Welsh Government going to apologise too? You decided not to include Carmarthenshire in the 'Train. Work. Live.' programme to attract GPs to Carmarthenshire. Doesn't some of the responsibility fall on your shoulders?

Carwyn Jones AC: Well, what we wish to ensure, of course, is that people do come to work in Wales. We have seen the numbers increasing because of that. We've seen, for example, the numbers increase in Ceredigion and in Pembrokeshire. Also, in Pembrokeshire, for example, in 2016, in terms of doctors coming into the training places, the percentage was zero, and then it's increased to 100 per cent within a year, in 2017. Now, is it true that there are pressures? Yes. Is it true to say that some services have not been sustained? Yes, that's correct. So, what's next? Well, Hywel Dda is employing advanced paramedic practitioners—people who can work within the local area. Adverts have been placed by the health board seeking to attract people into the Hywel Dda area. There is discussion ongoing at present on the potential to develop regional working, particularly during the night hours, and those are discussions with ABMU and Hywel Dda and also the Welsh Ambulance Services NHS Trust. We are also looking at GPs working from home. That is being considered at present, and that, of course, will need to be considered to see how effective it is. So, yes, it’s true to say that the service has not been of the quality that we would expect, but the health board is working on resolving the situation.

Paul Davies AC: First Minister, there is clearly a huge problem in terms of out-of-hours doctors in the Hywel Dda health board area, and one of the impacts of this is to place significant pressures on A&E services, for example. Now, the options for the health board's current consultation mean that Withybush hospital will be downgraded to a community hospital without A&E services, which is entirely unacceptable. Would you agree with me, therefore, that it is even more important that A&E services should be available to people in Pembrokeshire, given that there is a huge problem with out-of-hours doctors, and that the Hywel Dda health board should at least recognise this in its consultation on reconfiguring health services in west Wales?

Carwyn Jones AC: Well, I cannot express a view on the consultation, of course. It's important that this takes place and that it is an open consultation where people have the opportunity to express their view on the process itself, and to say how strongly they feel about any issue. As regards Pembrokeshire, there are an additional six GPs that are being trained in Pembrokeshire, and that, of course, will be of assistance to the area. Also, there are an additional six doctors on the hospital rota in the local area, because those doctors will have a role to play in the hospital itself. So, we have succeeded in attracting doctors to the Ceredigion and northern Pembrokeshire area, and we would expect Hywel Dda to continue to attract more doctors in order to ensure that there is a sufficient number of doctors available out of hours.

Support for Care Leavers

Lynne Neagle AC: 4. Will the First Minister make a statement on support for care leavers? OAQ52156

Carwyn Jones AC: Supporting care leavers into independent adulthood and successful futures is a key commitment in 'Prosperity for All'. Through the ministerial advisory group and investment in key initiatives, a strong collaborative approach will improve outcomes for those involved, and we're beginning to see the beneficial effects of what has already been announced.

Lynne Neagle AC: Thank you, First Minister. I'm very proud that, despite the challenges of austerity, Torfaen council became the first local authority in Wales to exempt care leavers from paying council tax until 21, or 25 in some circumstances. As you'll be aware, that decision was followed by six other local authorities. This exemption will provide care leavers with a vital opportunity to transition and adapt to independent living, and this peace of mind should be availableto all care leavers in Wales, not just in the seven local authorities who have introduced the policy. First Minister, what can you do to assist the remaining local authorities in Wales to provide this exemption to care leavers to ensure that care leavers in Wales can access the support wherever they live?

Carwyn Jones AC: 'Learn from the good example of others' is what I would say. We've already asked local authorities to use their powers to exempt care leavers from paying council tax. I would not think it's a massive financial hit on the budgets of local authorities. I very much welcome what Torfaen has done, and the other local authorities. I would very much urge the others to follow suit.

Janet Finch-Saunders AC: It's a really good question that's been asked here today. Because of the seven local authorities that have already introduced this—the actual cost across Wales would be £2 million. Sixty local authorities in England have implemented this, and in October it was announced for all care leavers in Scotland. So, First Minister, what commitment will you make to provide funding to local authorities here in Wales to provide a 100 per cent council tax exemption for young care leavers?

Carwyn Jones AC: Some local authorities have done it already. Because they've done it already, I can't see why others cannot follow suit. I believe, actually, that it's now eight, rather than seven, across Wales that have exempted care leavers from paying council tax until at least the age of 21. Two local authorities have exempted all care leavers up to the age of 25, and three have exempted up to the age of 25 in certain cases. Now, I understand that a further 10 local authorities have plans to move ahead with this, subject to the necessary approvals. We haven't had information back from four local authorities, but we will continue to press. If one local authority can do it, the others can do it, and so I would very much urge the other local authorities to follow the good example of those who have already committed to this policy.

Caroline Jones AC: First Minister, the best support we can give to care leavers is ensuring that they have the knowledge and skills needed to prepare them for an independent adult life, the skills most of us are taught by our parents. What is the Welsh Government doing to ensure that corporate parents equip those in care with the skills needed in later life and will you learn from the Roots Foundation in my region who focus on helping those in care to transition to independent living?

Carwyn Jones AC: I think our carers, and our foster carers particularly, do an incredible job. I've met people who have fostered many, many children and they've fostered children who have come to them in the most difficult of circumstances, sometimes more than once. I've seen foster carers who foster children at a very young age who then, of course, see them go for adoptionwhen they're 18 months or two years old. It's very, very emotionally difficult for people, and I really take my hat off to them.
She asked what we have done as a Government. Well, we have established the £1 million St David's Day fund. That supports care leavers to access opportunities in education, training and employment. There's £625,000 for the local authorities to develop apprenticeship and traineeship opportunities within the local authority, acting as good corporate parents, and £1 million has been provided to local authorities so that personal adviser support can be provided for all care leavers up to the age of 25. Those are just some examples of what we have done as a Government in order to provide the sorts of funds that are required to give our care leavers a better start in life.

Help to Buy—Wales

Jayne Bryant AC: 5. Will the First Minister provide an update on the impact of the Help to Buy—Wales scheme? OAQ52155

Carwyn Jones AC: Since its launch in 2014, Help to Buy—Wales has helped nearly 6,900 households to buy their new home, with around 75 per cent being first-time buyers. In addition, of course, the scheme is attracting development funding into Wales and providing jobs and opportunities for the Welsh supply chain.

Jayne Bryant AC: Thank you, First Minister. The value of homes in Newport has grown by 4.7 per cent in the last year, with the average house price now in Newport over £185,000. The Welsh Government's Help to Buy scheme has helped over 1,200 first-time buyers to purchase their homes in Newport, and that's one fifth of all Help to Buy homes purchased in Wales. With the removal of the Severn bridge tolls fast approaching, and people moving from Bristol and Cardiff to Newport, increasing rents and house prices continue to put a real strain on young people and families. Consequently, there's a real risk of young first-time buyers being priced out of the market. What more can the Welsh Government do, with the local authority and social landlords and developers, to ensure property hotspots like Newport are attainable for those who want to get on the housing ladder for the first time?

Carwyn Jones AC: Help to Buy—Wales is part of that, but other schemes such as Rent to Own are hugely important, and also making sure, of course, that there's sufficient supply of housing in the area. That's not just about building more and more homes—although we have our target of 20,000 homes that we will reach by the end of this Assembly term—but also, of course, bringing more empty homes into use, and Newport, of course, has a good record of doing that. And, of course, it's looking at alternative ways such as shared equity schemes, such as community land trusts, in order to make housing more affordable, and particularly to make sure that the price of housing doesn't go up so fast and so far that the housing then becomes unaffordable. One way of doing that is through shared equity. One way of doing that is through community land trusts, where the land is owned by a landlord and the people who own houses on the land are leaseholders. It helps to control the price of houses. I think all these things can be looked at by house builders, in order to make sure that more and more houses become available.

David Melding AC: First Minister, I certainly agree that the Help to Buy scheme has been successful, as it has been in England, and the other demand-side measures that you mentioned—most of them are also in England—have also been helpful, but they're not as powerful as supply-side measures. Can I tell you, now, the latest figures? Since March 2018, just gone, the average house price in Wales is now over £181,000. That's between six and seven times the average income. That's why we have a housing crisis. It's not your fault in particular; it's all of us who have been active in politics for the last 25 to 30 years. We've got to have a complete change, starting on the supply side.

Carwyn Jones AC: I agree, but I think it's about more than that. The most difficult part of the housing market in the UK is that people have become used, over many, many years, to seeing a house as an asset—as something that potentially could be something where they could see an increase in their financial investment, or something for their children. It doesn't happen everywhere else, in other countries. Quite often, in some countries, renting is seen as the norm and property isn't seen as something you invest in. But it is, in reality, the case that people do invest in houses with the expectation that prices will go up. The question is getting the balance right: prices will go up, but it's making sure they don't go up at an astronomical rate, and that means increasing the supply. He's quite right about that. But it's about making sure that the supply properly matches the demand that's there. There's no point increasing the supply of high-end housing if the market isn't going to help those people who are at the lowest end of the income scale, which is why I've always emphasised the fact that, yes, we need social housing, yes, we need to make sure that there is more good private rented accommodation, yes, we need more houses for purchase, but we also need to look at other ways in which people can get a stake in property without having to buy a house outright, which would be beyond them financially.

Economic Growth in Cynon Valley

Vikki Howells AC: 6. What action is the Welsh Government taking to support economic growth in Cynon Valley? OAQ52157

Carwyn Jones AC: The 'Prosperity for All' national strategy and the economic action plan sets out the actions we're taking to support economic growth in the Cynon valley and across Wales. Just some examples, of course: our Vibrant and Viable Places town centre loans fund is helping tosupport town-centre regeneration across Wales. Aberdare, in particular, is seeing the benefit of that. If we look, for example, at the Cynon valley, the Cynon valley has attracted four investments from foreign-owned companies and two investments from elsewhere in the UK over the past five years. And, of course, there are examples of home-grown businesses in the valley that are doing well, such as Ashwood Designs.

Vikki Howells AC: Thank you, First Minister, and I agree with everything you said there. I recently visited Pontus Research, which is an award-winningaquacultureresearch and development business in my constituency, with a global client list. The company has done incredibly well, but they've now reached capacity and they need to grow. They've applied for funding from theEuropean maritime and fisheries fund, but havebeen told that their application could take at least 120 days—that's120 working days—just to process. This is preventing them from developing, from possibly securing matchfunding, from taking on new staff and thereby contributing to economic growth even further in my constituency. First Minister, will you look at how the EMFF is working in Wales to see whether improvements can be made to timescales so that other businesses like Pontus don't lose out?

Carwyn Jones AC: Well, first of all, the appraisal process should take up to 120 working days, not at least 120 working days. What I can say, though, in relation to Pontus is that the application is currently being appraised. The company has received a letter confirming that it can start work, at their own risk, from the point the application is submitted, and that was in January 2018, in order for that work to begin. I can also say that the company has been able to benefit as well from funding made available by the Welsh Government through the fisheries business development advisors scheme tohelp to pay a consultant to develop the business idea. If your constituent has been told that it's at least 120 days, let me give the assurance that it is 'up to', with the objective, of course, that the appraisal process is finished long before that.

David Melding.

David Melding AC: Diolch yn fawr, Llywydd. I'm obviously in your good books this afternoon, and long may it continue. [Laughter.] First Minister, Cynon Valley is the third least economically active constituency in Wales, and we know the association between economic activity and prosperity. The main reason that people remain economically inactive, when they could, actually, for health reasons, be fit enough for work, is that they don't have the basic skills to enter the job market, as it changes rapidly.Therefore, investment in basic skills is as important as driving towards the great knowledge-based economy, which, of course, we also want to see in Wales. These programmes are what we really need in areas like Cynon Valley.

Carwyn Jones AC: I agree. The reason why, of course, productivity is historically low, not just in Wales but in the rest of the UK, is that over many years, there was a lack of investment in skills development. We know that the more skilled people are, the more productive they are and the more they can earn. I've said this before in the Chamber: why is it that, if we give a German worker a particular machine, we get far more out of it than a worker in the UK? Why? Training. That's the reason for it, and that's the lesson we must learn. How are we doing it? Working with higher education bodies, who are working hard in their communities. Further education colleges—we have new colleges that have been built across Wales, offering fantastic facilities for local people. The Valleys taskforce has, at its very heart, the desire to ensure that people can have better jobs closer to home, and that means, of course, making sure that they have access to the skills that they need. But it is hugelyimportant as well to make sure that jobs don't leave Valleys communities, and that's why I was so disappointed to see that the Department for Work and Pensions have decided to centralise lots of jobs that have come from other valleys in Treforest. They're not new jobs; they're jobs that have simply been moved around. Unfortunately, for many people, that will mean that they will now find they have to travel further in order to keep the jobs that they have. That is the wrong direction.

Ovarian Cancer

Jane Hutt AC: 7. Will the First Minister respond to the call from Ovarian Cancer Action for a national clinical audit of ovarian cancer in Wales? OAQ52133

Carwyn Jones AC: Tthe clinical audit and outcome review programme for the NHS doesn't include provision—that's true—for a national clinical audit of ovarian cancer services. We do, however, encourage ovarian cancer charities in Wales to approach the Wales Cancer Network to consider alternative approaches for reviewing services.

Jane Hutt AC: Thank you, First Minister. You'll be aware that today, in fact, is World Ovarian Cancer Day. On Mother's Day, I joined hundreds of others on a walk in memory of Lesley Woolcock from Barry,who was a tireless campaigner on ovarian cancer who sadly passed away in 2016.
According to Ovarian Cancer Action, ovarian cancer is the UK's deadliest gynaecological cancer, and the UK has one of the lowest survival rates in western Europe. So, an ovarian cancer audit could provide the datato help find out why this is and where the challenges lie. And, of course, recognising the importance of national clinical audits—and they have improved survival rates for lung, bowel and head and neck cancers—I understand that Scotland has justcompleted an ovarian cancer audit, and the chief medical officer in England has called for an audit. So, I hope, indeed, there will be consideration for an audit for women in Wales.

Carwyn Jones AC: Well, there already exist clinical audits for a number of other cancers, as the Member clearly pointed out. We keep an open mind on whether clinical audits are appropriate for all cancers, but what I can say is that there is already a system in place in order to examine the way in which ovarian cancer is detected and, indeed, treated—that's part of the approach set out in the cancer delivery plan for Wales. We do have a significant amount of data on ovarian cancer that is provided by the Wales cancer registry,and we do learn from that in terms of what impacts cancer survival through our participation,for example, in international studies.
I can also assure Members that ovarian cancer services are subject to a peer review programme. That has taken place this year, and that is intended, of course, to support quality improvements in services.

And finally, question 8, Llyr Gruffydd.

The Procurement of Health Services in North Wales

Llyr Gruffydd AC: 8. Will the First Minister make a statement on the procurement of health services in North Wales? OAQ52117

Carwyn Jones AC: All procurement by any health board should be undertaken in accordance with its standing financial instructions, the principles of financial management set out in 'Managing Welsh Public Money', and with the specialist advice and support of NHS Wales Shared Services Partnership procurement services to assure compliance and value for money.

Llyr Gruffydd AC: In response to questions from Plaid Cymru on proposals to privatise dialysis services in north Wales, you said, on 30 January, that you were entirely opposed to privatisation:
'We are completely against privatisation'.
Those were your words. We now hear that Betsi Cadwaladr is proceeding with plans to privatise those dialysis services across north Wales. The staff tell me that they don't want to transfer from the NHS into the private sector, and they also tell me that they don't feel that there has been sufficient consultation with them. There certainly hasn't been consultation with patients or the public more generally. And I have a letter from the health board confirming that they have your Government's support for this proposal.A Labour Government allowing public services to transfer from the NHS into the private sector—it's something that you are very critical of when the Conservatives do it in England.
So, when you told us on 30 January that you were entirely opposed to privatisation, did that suggest that you didn't know what was happening within the health service in north Wales, or, indeed, were you trying to mislead us?

Carwyn Jones AC: No, not at all, and I would like to see the letter that the Member alludes to, to see exactly the content of that letter. So, I will wait, therefore, to see what will happen on that.
This is a process that Betsi Cadwaladr trust has begun, and it will be complete by July. What they are trying to do is ensure that the best possible service is available for their patients, and they are duty-bound to ensure that that happens.

Thank you, First Minister.

2. Business Statement and Announcement

The next item, therefore, is the business statement and announcement, and I have been informed that the Cabinet Secretary for Energy, Planning and Rural Affairs will make the statement today on behalf of the leader of the house. Therefore, I call on Lesley Griffiths.

Lesley Griffiths AC: Diolch, Llywydd.Two statements by the Cabinet Secretary for Health and Social Services have been added to today's agenda on the recently published reports on Tawel Fan andthe use of the vaginal synthetic mesh. Business for the next three weeks is shown on the business statement and announcement found among the meeting papers that are available to Members electronically.

Andrew RT Davies AC: Could I seek two statements, Cabinet Secretary, please, today, if possible?One is on the proposals to build a new road from junction 34 in the Vale of Glamorgan to Sycamore Cross. I do declare an interest in that, potentially, some of my land could be affected by it. There was a large public meeting that I was unable to attend on Thursday night, but I know that the Member for the Vale of Glamorgan was there.This has caused considerable concern in the locality of Pendoylan,and whilst the consultations have been welcomed, there is still muchvagary around the dates and timelines of possible delivery, or not, as the case may be, and exactly who is drivingthese proposals? Is it the local authority, is it the Welsh Government, is ita combination of the two? A statement from the relevant Cabinet Secretary would benefit informing the community around the issues around this proposal.
Secondly, could we have a statement from the health Secretary around the news over the weekend from the Royal College of Physicians that there has been potentially a computer glitch that has affected 1,500 job offers to junior doctors and their placements in other parts of the United Kingdom and, indeed, I dare say, in Wales as well—how that might or might not have affected positions to be filled here in Wales? We're all aware of recruitment issues in the health service in whatever part of the United Kingdom, but to hear of this glitch from the royal college, which has potentially affected at least 1,500 job offers, is of concern. In particular, could we understand how that might or might not have affected health services here in Wales?

Lesley Griffiths AC: Thank you, Andrew R.T. Davies, for those questions. In relation to the first one, around the proposed road at junction 34, I understand the Cabinet Secretary for Economy and Transport has already written to the constituency Member, and so he will now update all Assembly Members in relation to that.
The second part of your question: the Cabinet Secretary for Health and Social Services is aware of, I think, this very unfortunate situation, and of course it does raise concerns. His officials are now in contact with the Wales Deanery to ensure that they will be very clear about any developments and to understand what impact it will have here in Wales. We need to ensure that the situation is, obviously, rectified as soon as possible.

Simon Thomas AC: Today, new leader of the house, for the time being, pro tem, the House of Lords is, of course, on its last realistic opportunity on Report Stage of amending the European Union (Withdrawal) Bill, and before them is a very important amendment in the name of a Labour lord, Lord Alli, supporting remaining in the European Economic Area as a negotiating objective of the UK Government. Now, that's precisely the aim, the stated aim, of the Welsh Government—leaving the EU but remaining in the single market and customs union—and is one of the negotiating objectives in the White Paper published by the Welsh Government. The fudge of a customs partnership—for once, I think Boris Johnson's probably got it right—is not going to suit anyone, and is a ridiculous way forward, and won't work. You're either in or you're out of a customs union. So, can we have a statement from the Welsh Government on what work it is doing now to support this vital amendment, which would in turn allow the House of Commons to make a decision, because it is the stated policy of the Welsh Government? In particular, has the Government instructed the two lords who are members of the Welsh Government to attend the House of Lords today and vote in line with Welsh Government policy? [Interruption.] My question is to the leader of the house, if I may.
Secondly, can we have a debate led by the Cabinet Secretary for Economy and Transport on cycle safety? I enjoyed a glorious cycle ride myself on Sunday, from Aberystwyth to Pontarfynach and around the back lanes of Ceredigion. Much of it was on a Sustrans route, so I was disappointed to read that our own First Minister doesn't feel safe to cycle in Cardiff. What does it say to how we prioritise cars over safe routes, and how we design our cities, if our own First Minister doesn't feel safe to cycle in his own capital city? Now, I've raised cycle safety before with the First Minister directly, and perhaps now we will all take it seriously, and take action so we see a genuine change in the way we travel and live our lives. We need to get past the welcome, yes, additional resources for safe routes to debate—and that's why I'm asking for a debate—what the alternative is for car journeys in our cities, and how we make our cities more accessible for all of us, including the First Minister when he wants to cycle. If he ever does want to cycle, when he's retired from his current role, up the Rheidol valley, I would be delighted to accompany him.

Lesley Griffiths AC: Thank you, Simon Thomas. In relation to your first point, it has always been the Welsh Government's position that we should remain in the single market. We believe that's absolutely right for the economy of Wales, and I'm sure the Cabinet Secretary will update us at the appropriate time.
I'm not quite sure that's what the First Minister said. I only read the article very briefly, but I thought the reference was more to his age than to the fact that he didn't feel safe, but I'm sure he'll be very pleased to take you up on your offer.
Obviously, the Cabinet Secretary for Economy and Transport has made £60 million available to local authorities. It's now for local authorities to make sure that they have the cycle paths that are required by their local population.

Jane Hutt AC: Can I just ask two questions, Cabinet Secretary? Last week, I attended the real living wage leadership group and I met the directorsof the Living Wage Foundation and Cynnal Cymru, whichundertakes the accreditationof real living wage employersin Wales. It's reported that there are now 143 accredited real living wage employers in Wales, drawn from the public, private and third sector, as part of 4,000 real living wage accreditationsUK-wide. Can you update on whetherthe real living wage will be acknowledged as part of the economic action plan and the gender review?
And, secondly, can I add to the question, followingAndrew R.T. Davies, regarding the proposals affecting the people living in the Pendoylan area? I did attend a PACT meeting last week regarding the Welsh transport appraisal guidanceroad proposalsto linkthe M4 to the A48.FootnoteLink Ten years ago there was a consultation over similar proposals and the Welsh Governmentdecided not to proceed, but undertook to invest in improvements to Five Mile Lane, which are taking place, andimproved frequency of bus and rail serviceson the Vale line to half-hourly. Can the Cabinet Secretary give a statementas to why thosehalf-hourly rail services have not been implemented? I believe those would be the best way to improve access to Cardiff Airport and the St Athan enterprise zone in the Vale of Glamorgan.

Information further to Plenary

Lesley Griffiths AC: Thank you, Jane Hutt, for those two questions. In relation to the real living wage being acknowledged as part of the economicaction plan and the gender review, you'll be aware that when the economicaction plan waslaunched in December 2017, that really set out Welsh Government's vision for inclusive growth to boost our wealth and well-being and the narrowingof inequalities that we have across Wales. So, absolutely at the heart of that plan is a commitmentto developinga new and very dynamic relationship between Government and businesses, based on the principle of public investment with a social purpose. I think, in particular, thefocus on fair work as a key element of our new economic contract really will provide an opportunityto promote and raise awarenessof the business benefitsof the real livingwage. And whatwe want to see is that increasingly adopted acrossWales.
In relation to your second point, aroundthe meeting you attended and whether the half-hourly rail services—why they haven't been implemented. As you know, we will take over the full responsibility for the Wales and borders rail service later this year and that will then enable us to introduceour own improved contract, service and systems for rail users across Wales and the borders. Obviously, specific services will be for the new operator and developmentpartner, but our minimum requirementfor the bidders tendering for the contract is that services will at least be equivalent to those currently provided. Obviously, the procurement process is still ongoing, so it's not appropriate for me to comment further on the outcome.

Mohammad Asghar (Oscar) AC: Cabinet Secretary, may I ask for a statement on respiteservices for people affected by dementia in Wales? The older people's commissioner has produced a report claiming that traditional respite care that does not meet people's needs is detrimentalto their health and well-being. The report further claims that traditional respite services often lacked flexibility and did not always deliver positive outcomes. Cabinet Secretary, could we have a statement from your colleague, another Cabinet Secretary, the Cabinet Secretary for health, providing us with a full response to the concern raised in the older people's commissioner's report, please?

Lesley Griffiths AC: Thank you. Once the Cabinet Secretary for Health and Social Services has had time to consider the report from the older people's commissioner, I'm sure he will then update Members, as he sees fit.

Dai Lloyd AC: Thank you, Cabinet Secretary. I've got two issues. The first one: it was clearly a desperately disappointingday last Thursday as we learnt of the news that nearly 800 jobs are to go at the Virgin Media call centre in Llansamlet in Swansea. The loss of hundredsof jobs is clearly going to have an impact locally. It means a huge uncertain and distressing time for staff and theirfamilies. Now, I realise that written statements have been produced, but I would hope that the Welsh Government will now provide as much support as possible to those affected. But the announcement also raises questions about the level of communication betweenthe Welsh Government and major companies such as this, because last year we had a similar announcement with a Tesco call centre moving over 1,000 jobs from Cardiff, withthe Welsh Governmentagain seeminglybeing made aware only when the announcementwas made public. Now, given that the call centre sector is a key employerin Swansea, as in other parts of Wales, I would expect the Welsh Governmentto be fully aware of any difficulties faced by employersor of any planned changes before such public announcementsare made. The VirginMedia announcement therefore raises questions about the type of relationship that the Welsh Governmenthas with business and the mechanisms that you havein place to gather intelligenceand to formally discuss and resolve any business pressures or planned changes. So, with all of that in mind, I'd be grateful if the Cabinet Secretary would bring forward a statement that we can debate here on the Virgin Media call-centre decision.
And my second issue is on the costs of medical indemnity for GPs. That's the cost of medical insurance that we—all GPs, all doctors—have to have. Before you can practise as a doctor, you have to have insurance to cover any possible costs of litigation, which runs into several thousands of pounds, and for GPs this is paid personally. Full-time GPs pay as much as £6,000 to £8,000 a year, and even as part-time GPs, that cost can be £3,500 or more. And that is paid personally by GPs. Hospital doctors have those costs paid for them. The situation as regards GPs increasingly going part-time, or doing locum work later in their careers, is that they are now weighing up the costs of still paying that medical indemnity insurance with the costs going up, with wanting to do one or two days' work, and finding that doing one or two days' work does not pay for the costs of the medical indemnity. So, I'd be grateful if that situation could be looked at in some detail by the Cabinet Secretary, because we are losing a valuable and experienced sector of the GP workforce through inaction on this point. Diolch yn fawr.

Lesley Griffiths AC: Diolch, Dai Lloyd, for those two questions. In relation to Virgin Media,obviously we're extremely disappointed by their plans to close their customer engagement centre in Swansea, and Welsh Government was not informed of this prior to the announcement. Obviously, we can only act if we're told, but the Cabinet Secretary for Economy and Transport has set up a task and finish group, on the same model as the one that he set up in relation to Tesco, which you mentioned earlier. And, also, alongside that, the Welsh Contact Centre Forumwill work, where it can, with Virgin Media and the affected employees to help them secure, obviously, employment again. One of the reasons that we provide financial support to that forum is to enable them to do that. Employment opportunities are being created at other regulated customer service centres across south Wales, so I know the Cabinet Secretary is confident, as with Tesco, that alternative employment can be found.
The Cabinet Secretary for Health and Social Services will have heard your request for a statement around medical indemnity fees for general practitioners, which I think is a very pertinent point.

Julie Morgan AC: Can we have a debate on the announcement that the First Minister mentioned in his questions today, that the Department for Work and Pensions plans to close five offices across south Wales and centralise those jobs in one new build, in Treforest? The plans will affect jobs in Newport, Cwmbran, Caerphilly and Merthyr, as well as 714 staff working at the Gabalfa office, in my constituency of Cardiff North—1,700 jobs altogether. Does she agree that this will take public sector jobs away from many needy communities, and will impact unfairly on staff, in increasing travel time and costs, and it will particularly affect those with caring responsibilities? And, above all, it is not supporting the Valleys taskforce, as Fiona Jones from the DWP says in her letter to Assembly Members, because these are not new jobs, and they are being moved from many needy communities. So, could we have a debate on this very important issue?

Lesley Griffiths AC: Thank you, Julie Morgan. And you will have heard the First Minister's concern around this decision. Obviously, it's a non-devolved matter; it's been taken by the UK Government. We understand that approximately 1,400 DWP staff will be affected by the relocation proposals, which were announced by the DWP last week. As the First Minister said, these are not new jobs. We know that staff are currently based in benefit offices in Merthyr, Caerphilly, Cwmbran, Newport and Gabalfa, Cardiff, in your own constituency, and the prospect is of moving to a new building in Treforest in 2021. We do understand the DWP are working to ensure that there are no job losses for staff resulting from the relocation, and that staff will be offered alternative roles, if relocation is not an option. But, clearly, as a Government, we are very concerned about this decision by the UK Government.

Llyr Gruffydd AC: May I ask for an early statement onSchoolBeat and its funding? It's a matter that I and others have raised regularly over the past few months. There is some uncertainty. The service doesn't knowwhether it will be able to persist until the Government makes a decision on its funding. It's an important service, with police forces going into schoolsto work with pupils and staff on developing resources and providing classes on online security, the misuse of substances and so on and so forth. But we're now in a situation in north Wales where there are vacant posts within the programme where it isn't possible to recruitstaff because of the uncertainty emerging from your Government's decision. So, can I ask you for an early statement on this becausethis is a service that is appreciated by pupils, by staff, by teachers, and it's the Government's duty to provide that clarity?

Lesley Griffiths AC: I am very well aware of the service and I will ask theCabinet Secretary for Healthand Social Services, whose remit it comes under, to write to the Member around that issue.FootnoteLink

Information further to Plenary

Point of Order

Thank you, Cabinet Secretary. Point of order, Joyce Watson.

Joyce Watson AC: Llywydd, following the point of order that I made last Wednesday in this Chamber, I wish to correct the record and confirm that I did in fact use the words quoted by the leader of the UKIP group during a previous debate.

Neil Hamilton AC: Further to that point of order, Llywydd—

No. The point of order has been clarified and corrected, and I am satisfied with that and there is nothing further to this point of order to be made at this time. [Interruption.]

We move on, therefore, to the statement—

Your microphone is not on. The people of Wales cannot hear you, and if the people of Wales cannot hear you, then the Assembly Members in this Chamber are not to hear you. [Interruption.] Yes, thank you verymuch for writing to me in advance, and as I have already told you this afternoon, I met with Joyce Watson, and she has agreed and corrected and clarified the matter that was raised last week, and this matter has no place else to go. And I am moving on to next business. [Interruption.] Neil Hamilton, you will sit down at this point because you are not being asked to speak or to make any further contribution to this point [Interruption.] Nothing you have said during this point has been on the record or on microphone.

3. Statement by the Cabinet Secretary for Health and Social Services: The Health and Social Care Advisory Service (HASCAS) Report into the care and treatment provided on Tawel Fan

I am moving on to the next point of business and that is item 3, which is the statementby the Cabinet Secretary for Health and Social Services on the report into—. I have this in Welsh in front of me, so I'm going to change to Welsh at this point.

The Health and Social Care Advisory Service Report, HASCAS, into the care and treatment provided on Tawel Fan, and I call on the Cabinet Secretary to make his statement. Vaughan Gething.

Vaughan Gething AC: Diolch, Llywydd. On 3 May, the Health and Social Care Advisory Service published the outcome of its investigation into the care and treatment provided on the Tawel Fan ward. I am acutely aware that this has been a very difficult period for all individuals, families and staff directly affected by the concerns over care and treatment at Tawel Fan. I acknowledge the additional strain caused by the length of this investigation. It was, however, essential that the investigation remained focused on a thorough and fair process that was not compromised to achieve restrictive timescales.The report set out a range of failings that let down patients and led to real harm being caused. I am deeply sorry that this happened and I apologise for it without hesitation.
The scope of the investigation was significant and broader than the original commission. It ultimately involved reviewing 700,000 pages of documentation, 148 interviews and 108 case reviews. It also considered material provided as part of previous investigations. This was a broad remit, and unlike previous reports, it was able to have access to a comprehensive set of documentation, including clinical records, and draw in specific mental health expertise. HASCAS maintained an independent and evidence-based stance throughout, with the aim of providing as accurate an account of events as the evidence available allows. This has been done with the support of an expert panel of 16 individuals of national standing.
I do need though to address the accusation made that there was a direct link between the Welsh Government and HASCAS that affects the independence of the report. The inference of a conspiracy directing the report to protect the Government or a political party is a direct attack on the integrityof HASCAS and the individuals on the investigation panel.None of the investigation panel were practitioners in Wales. The legal advice to the HASCAS investigation was independent of the Welsh Government, and HASCAS, as an organisation, has undertaken a range of reviews, for example, into the English health and care system without fear or favour, and there is no reasonable basis to attack their integrity in this matter.

The Deputy Presiding Officer (Ann Jones) took the Chair.

Vaughan Gething AC: I do understand that many will have been surprised by the findings of their report. However, anyone who has taken the time to read the report carefully should appreciate the thoroughness of the investigation and understand how the conclusions have been reached.In relation to the care on Tawel Fan the independent findings are that the levels of care and treatment provided on Tawel Fan ward were of good overall general standards and that good nursing was provided.
Whilst assurance can be taken from some of the findings, the report is a difficult read. It is far from a clean bill of health. I do not shy away from the significant issues it highlights across a number of areas, including governance and clinical leadership; service design and care pathways; and safeguarding. Many of the issues go beyond mental health services at the Tawel Fan ward.
HASCAS will be meeting individually with each family to discuss individual patient reports, which are crucial in providing the detail of the care provided. I hope that, alongside the thematic report, the individual reports will provide assurance to families about the integrity of the investigation.A similar process will also take place for staff who have been affected. I have already sought assurance that the health board is providing appropriate levels of support to both staff and families during this process.
As I have already stated, it is very clear that further, sustained improvement is still required by the health board. This will require further focused oversight under the special measures arrangements.
The report does though acknowledge the considerable journey that the health board has embarked upon, recognising that it hasn’t stood still since the period being investigated. The report states the health board has made significant progress in key areas detailed in the dementia strategy, for instance, having a designated consultant nurse in dementia care. It also recognises the steady progress that Betsi Cadwaladr has made in relation to patient and carer support, and working proactively to support the care home sector.
The report also references many areas where they saw good practice. I am keen that, despite the criticism in the report, we recognise the excellent care provided by so many staff across the health board, both then and every day since the events that this report examined.For example, the nursing team on the Bryn Hesketh mental health in-patient unit have been shortlisted for an award that recognises those who have achieved excellence in their field of nursing.
However, despite some positives, I continue to be very clear with the health board about the need to increase the pace of improvements and to deal with issues that are again highlighted in this report, and I will set out my expectations for that improvement.I will today publish a special measures improvement framework that sets out the milestones and expectations for the health bard for the next 18 months in leadership and governance, strategic and service planning, mental health and primary care, including out-of-hours services.
This improvement clearly references the work required by the organisation as a result of the recommendations from HASCAS. It may require a further update after Donna Ockenden’s governance review, which is expected shortly. This will take the form of a detailed quality and governance improvement plan to be prepared by the health board and to be available by the board’s July meeting this summer.I will continue to provide ministerial oversight with monthly accountability meetings with the chair and the chief executive. I expect Betsi Calwaladr to provide detailed progress reports against the new improvement framework and the first report will be provided in October this year.
Key to improvements is strong leadership for the organisation. I previously reported that a new chair will lead the next critical phase of the health board’s improvement journey. I am pleased to announce today that Mark Polin has been appointed to the role. He will bring a wealth of public sector leadership and governance experience, commitment to and knowledge of the communities of north Wales from his current role as the chief constable of North Wales Police. I will provide a further update on his appointment and the special measures arrangements in an oral statement in early June.
I expect strong leadership,and especially clinical leadership, from all parts of the organisation to address once and for all the issues that this report identifies. There must be a significant culture change to move from the current underlying resistance to clinical policy and consistency in practice. The board will need to give this rapid and serious consideration to determine what steps need to be taken to change ways of working. I expect, at the least, to see this demonstrated in clinical leadership and engagement to support the design and delivery of a care pathway for older people with dementia, together with the significant improvement in mental health provision that is still required.
I expect both the health board and local authority partners to carefully consider the findings in relation to the operation of safeguarding arrangements. Protecting people at risk from all forms of abuse and neglect is one of the key priorities of the Welsh Government. This is clearly reflected in the legislation and policy that we have introduced in this term and the previous one.
I expect the findings in this report to be used to hold a mirror up to all NHS organisations in Wales. I am therefore writing to all chairs and chief executives of NHS organisations in Wales, asking their boards to consider the report's recommendations and to confirm how they will use the findings to improve their organisation. I will also expect the chief medical officer and the chief nursing officer to engage with professional executive leads to ensure that lessons drawn from this report are embedded in the future planning and delivery of healthcare in Wales. These are immediate actions being taken in response to the findings of the HASCAS report. I will of course continue to update Members on the progress being made on the wider required improvement.

Mark Isherwood AC: In your statement to us, you state,
'anyone who has taken the time to read the report carefully should appreciate the thoroughness of the investigation and understand how the conclusions have been reached.'
We have to disagree. But, of course, we're not alone. The chief officer in the north Wales community health council has said that dismissing the testimony of Tawel Fan families is akin to not believingsurvivorsof sexual abuse. He insisted the evidence given by relatives of dementiapatients at the Ablett unit was absolutelycredible. The older person's commissioner for Wales, Sarah Rochira, said the headline findings of the report will be of little comfort to the families of the patients on the Tawel Fan ward, who had been clear that theirrelatives suffered standards of care that were quite simply unacceptable.
Was not your use of the word 'reassuring' in initial press reports following the publication of the report at the very best insensitiveto the relatives and families, who themselves were reported as stating they found this report devastating? They were angry and in uproar over the abuse report. They again talked about how their loved ones were seen being dragged by the scruff of the neck, barricaded and left in their own mess. One spoke about how his mother was bullied and forced to sleep in an ant-infested bed. There was more than one occasion when she'd be in the same clothes for at least two days, lying in her own mess. He described the report as a huge cover-up, as reported in the press.
The Tawel Fan mental health board, in the Ablett unit report in 2013—in that report, the healthboard said it was alerted to serious concerns regarding patient care in December 2013. Of course, reports go back a lot, lot further. In 2009, I represented a constituentwho alleged the treatment received by her husband in the unit nearly killed him and that three other patients admitted around the same time as her husband had similarexperiences and that she was now worried about the treatment others may receive in this unit. Her husband suffered from Alzheimer's and terminal cancer. I was also copied in on a complaint in respect of another patient at the time who had vascular dementia, which included distressing before-and-after photographs. These were shared with both the health board and its predecessor and your predecessor. No action appears to have been taken.
Thankfully, in 2015, Welsh Government, the health board and Healthcare Inspectorate Wales all accepted the findings of Donna Ockenden's 2015 report. So, why now, when many serious allegations are peppered throughout the HASCAS report, has it come to the bizarre conclusion that care was good and that institutionalabuse didn't happen? Why do the conclusions not stack up with the findings? The HASCAS report doesn't chime with concernsraised in other reports. Why doesn't it chime with the Healthcare Inspectorate Wales report in July 2013, which found a patient locked in a room sitting in a bucket chair, incontinent in their own faeces and urine. It found no activities for patients. It found the garden unkempt and inaccessible. It found insufficient staffing, and much more—HIW, July 2013.
There was internal work on dementia care mapping in October 2013, which revealed that patients were desperately trying to engage with staff, and it reported an elderly patient found to be smearing herself with her own faeces resulting from that lack of engagement. The HASCAS report on page 115 talks about this dementia care mapping, but then on page 116 says no serious concerns were raised and no poor practice was observed. Why does that not agree with the October 2013 report, which found precisely the opposite? If this was your own grandmother, your mother or your sister, would you not consider this a serious concern? Any other rational human being would consider this to be a matter of the most utter and utmost seriousness.
Page 64 of the HASCAS report says that 29 families described significant concerns with communication and dementia diagnosis, and 18 families alleged unexplained bruisingand injuries. This isn't an election; it's not a poll. It's not a question of how many people had one experience or another to decide on the outcome. These are the experiences reported by dozens and dozens of families regarding the people that mattered most to them. Page 66 says that 10 families described relatives as being dirty and the ward smelling of urine. Why is this not a breach of care to these patients and, by association, to their families?
The HASCAS findings are based, quite properly, on clinical notes. You refer to the clinical notes in your statement, but they acknowledge that they understand that when they came to start their review, the clinical records they needed had not been secured. Why therefore, in breach of standard NHS practice to stop clinical notes being got at, were these notes not secured? And how, even if they weren't got at, can we have any confidence regarding their content in these circumstances, especially given the different findings of different reports I've referred to previously?
Is it not therefore the case that our colleague, Darren Millar, who can't be with us today, is right to have written to the Public Accounts Committee asking them to examine this matter, reflecting both the inconsistent evidence and the huge concerns caused to north Wales in general, but particularly to the families of these dozens of victims, I will call them, where the evidence is so strong that we have to accept that they were clearly telling the truth? I hope, Cabinet Secretary, you're going to change your tune on this, that you're going to listen, that you're not going to shoot the messenger, and that you're going to reconsider your approach, because, if not, you will have failed in your duty to these people, you will have failed in your duty to the patients and staff, and you will have failed in your duty to Wales. I look forward to your response.

Vaughan Gething AC: I recognise that there'll be a range of people who won't accept the findings produced in the independent HASCAS investigation report. I recognise that there'll be a range of families who will simply not be able to accept the conclusions they have reached, and I think it's easy to understand why that might be, where people have witnessed challenges that they have reported on. But, as the report set out, it certainly does not provide a clean bill of health for the health board—far from it—and it does recount failings in the care that some people were provided with, but it says that, overall, it does not support the previous finding of institutional abuse and neglect.
And it's fair again to reflect that, whilst some families are angry and hurt, and you understand why in the conclusions reached, there are a range of families who did not wish to engage because they had no complaints about the care provided. Other families did engage and confirmed they had no concerns or complaints about the care provided. It's also true to reflect on the fact that there were disagreements within families about the care provided as well. So, in that contested environment, where people have different versions of the same events, where there's an acceptancethat, on occasion, the care was not as it should have been and that people were let down when that happened, it is not surprising that there are different views on the overall conclusions of the report. But, as I say, that does not affect the integrity of this report.
It's worth again reminding you and others that, of course,this report had access to a much wider range of information. It interviewed 168 witnesses that were not available to the initial report. It considered 190 witness statements in the police report that were not available to the first report as well. There were real problems highlighted.
In terms of the response from HASCAS, we should remember what they themselves have said. They say that their report does not cast doubts on the validity of families'concerns. Indeed, it actually upholds very many of their concerns. It is important that this is a highly critical report. And that is the approach that I will take to seeking further improvement.I wish to see families that are affected, even including those who do not accept the report, being supported in the continued life that they will have. I wish to seesupport provided to staff directly affected, and I wish to see, for the future, real andsustained improvement that will take forward the real concerns and criticisms in what is a highly critical report.
It is for the Assembly, though, to determine whether it wishes to review the 300 pages of the HASCAS report and the 700,000pages of documentation and witness evidence that underpin it. That is a matter for the Assembly, not the Government, to determine. For my part, I will do what Ican and should to provide the reassurance that all of us, I'm sure, will wish to seek, and that is that people have their concerns listened to and that we take seriously the requirement for improvement that does exist within north Wales healthcare.

Rhun ap Iorwerth AC: Thank you for your statement today, Cabinet Secretary, but you've read, I'm sure, the statement issued by the Tawel Fanfamilies group in response to the HASCASreport's publication:
'we cannot and will not accept the findings',
they say. They say thatwhat they've read in this report doesn't stack up compared with all else that has gone before it—the experiences of the families themselves, the public emergence of those experiences that led five years ago to the closure of the Tawel Fan ward, the previously critical reports, theapologies from the health board itself for, and I quote:
'theappalling treatment and subsequent harm...experienced'.
Of course, as you say, it still is a very damning report. We heard you say this afternoon that
'The report set out a range of failings that let down patients and led to real harm being caused. I am deeply sorry',
you say,
'that this happened and I apologise for it without hesitation.'
So, the report highlights serious failings, but, somehow, it not only concludes that this didn't amount to institutional abuse and neglect, in direct conflict with theOckenden report, but also that some of the lightthat ought to be shed on what happened should be reflected back onto the families themselves. Cabinet Secretary, how do you account for the difference in conclusion between this and previous reports? How do you account for the difference between the clear description of multiple and serious failings in the way that Tawel Fanwas run and the conclusion that (a)this didn't in effect mean poor care for patients and (b) that, really, the patientsand their families were somehow themselves to blame, at least partly for having unrealistic expectations or for not understanding dementia or for changing their recollection of their experiences in response to media coverage.
Looking forward, I wish Mark Polin well taking over as chair of the health board. I note your planned publication today of a special measures improvement framework, but, of course, Betsi Cadwaladrhas been in special measures for nearly three years and people must have confidence that lessons have been learnt about the past before they can have confidence in what the health board can provide for them in future.
Many have already concluded that this is a cover-up. Families don't find this to be a credible report. And bearing in mind whatwe've heard from you today—that you wish for this report, which the families don't consider to be credible, to be the basisfor moving forward to better healthcare—how do you now regain those people'strust?

Vaughan Gething AC: I, again, refer back to the reality, the factual, undeniable reality, that this report by HASCAS, an independent group, an independent organisation, considered a much wider range of evidence than previousreports. And it should not be surprising that, when more evidence is available, including the 108 clinical records that were reviewed, it is possible to reach a differentconclusion. That does not cast doubt on the integrity of people who previously gave evidence—far from it. And, in fact, HASCAS themselves say,'Our report does not accuse any families of changing or elaborating on their stories. It does, however, make clear that many families had no concerns until the publicity surrounding an earlier report. They then wanted to know if their loved ones had been abused, and sought reassurance in this respect.'
And I think that's quite easy to understand. The challenge is how all of us in our different roles, including me, with my role within the Government, actually take forward the very difficult messages from this report and understand the real hurt that has already been caused to a range of families and how those people are supported through that. And that is not easy; it goes into your final point about regaining trust. Well, I think part of that is to be honest, and that is sometimes to say things that are not automatically easy to say or to hear. So, when I accept the report and its findings, and we have to work through our recommendations, that will please a range of families who will be reassured. It will also mean there are a number of families who are angry and upset and will not agree that is the right thing to do. There is no way to please everybody in this position, and you start from accepting there have been failings in the care provided and that is what we need to resolve.
I think that it also comes back to the point about the suggestion that there has been a cover-up. The more that that suggestion is made and the ferocity with which that suggestion is made will make it more difficult to regain trust. I accept there are questions people will want to ask, but the pre-emptive strike on the integrity of HASCAS and their individuals is something that I really do regret. HASCAS is an organisation thathas undertaken reports like this into a range of health and care establishments and failings right across these islands. They have never yet had the same level of attack upon their integrity provided. If you look at the CV of the dozen people who are on the panel and the four different lawyers, including a Queen's Counsel who was engaged around this to provide reassurance about legal advice, to say that they are part of a cover-up is an extreme accusation to make, and I do not think any of the evidence available really honestly supports that accusation. And, in that, I think it is different to seeing how families are upset and will lash out—you understand that. How could you not have real, human sympathy for those families involved? But I think that we have to hold ourselves to a higher standard, to be more objective about what has happened. That may make us sound cold and unsympathetic, but we have to be able to do our job in understanding how people feel and then recognising what we think is right for the whole service.
And your point about the Tawel Fan families—I have seen their statement, of course I have. And the Tawel Fan families, a group of about nine or 10 families that have been the most engaged in the process—. But the challenge in this—I think all of us should be able to understand—is that somefamilies do not wish to be engaged in that collective process. They have not themselves thought that that was an environment where they could themselves put their individual concerns. So, we've had different ways for families to engage in this report. Thirty-five families gave direct witness evidence to this investigation. A further 25 families were engaged but chose not to give direct evidence, and they made it clear that they were broadly content with the care that their loved ones had received. So, there are inherent contradictions between the events recounted by families over the same period of time, and this report is an honest attempt to understand those and to report on the evidence provided. I restate my commitment to trying to regain the trust of families across north Wales and beyond by actually making sure that we take seriously the criticisms in this report and take seriously the requirement to see further and sustained improvement in healthcare services in north Wales, especially as they refer to the older adult patients suffering with dementia, because that is the real challenge that this report sets out.

Caroline Jones AC: Thank you for your statement, Cabinet Secretary, as well as your earlier written statement. Although I was not a Member of this Assembly when the Ockenden report was published, I remember the shock and outrage I felt when I learnt of what these poor people enduredon the Tawel Fan ward. Listening, even last week, on the radio to families reliving their experiences and how they feel when they even have to pass the area concerned—which was more reminiscent of how people in mental ill health were treated in the eighteenth and nineteenth century, not the twenty-first.
Three years later, we now have the findings of the Health and Social Care Advisory Service investigation. No-one can dispute the independence or expertise of HASCAS, with Dr Johnstone and her team carrying out the investigation and publishing the report.HASCAS found chaotic and poor governance and problems across all mental health services in north Wales. They found nine key factors that compromised patient care. However, there is a disconnect between the HASCAS findings and the earlier investigation conducted by Donna Ockenden, and it is this disconnect that has led families to reject the findings of the HASCAS report, branding it a whitewash and a cover-up.
I agree with you, Cabinet Secretary, that we should avoid jumping to conclusions, but until we can fully address the concerns of the families involved in the Tawel Fan scandal, or those treated in the Ablett Unit at Ysbyty Glan Clwyd, we cannot move on from this.Cabinet Secretary, have you considered asking Donna Ockenden to work with HASCAS in order to address the concerns of the families? While I am pleased that Dr Johnstone and her team found no evidence of systemic abuse, they did find institutional failings in both the governance and care pathways at Betsi Cadwaladr.Cabinet Secretary, this is not the first report to highlight failings in clinical governance, not just in north Wales but across the NHS. Do you believe that the current governance model is fit for purpose in a modern healthcare system?
I welcome the announcement that you will publish a special measures improvement framework for Betsi, and I look forward to seeing the first progress report in October. Cabinet Secretary, as Betsi are already in special measures, what recourse is open to you should they fail to make progress against the improvement framework?
Finally, Cabinet Secretary, you have indicated that there are lessons for the wider NHS and that you expect NHS organisations to consider the report. With regard to social care implications, what discussions have you had with Social Care Wales, and do you expect local government to also consider the recommendations of the HASCAS report?
I look forward to working with you to ensure that the events that occurred in the Ablett Unit can never happen again. Diolch yn fawr. Thank you.

Vaughan Gething AC: I want to start again by reiterating that this report is certainly not a whitewash or a cover-up. If the report, on the basis of the evidence available, had come to a different conclusion, then, again, I would have been in a position where, of course, I would have been duty bound to accept that. There is precious little point in having an exhaustive independent investigation process, taking nearly three years, if the first responseof a Government Minister is to say, 'I don't like the conclusion. Get me a different one.' This was deliberately undertaken as an independent exerciseaway from the health board with peoplewho are not practitioners in Wales but with real independent expertise and integrity to get at the truth to allow us to understand what happened, but also to help set a path for the necessary improvement.
The Ockenden report, the second report, is about the governance structure of the health board, and, as I said in my statement, I expect that to be provided within the coming weeks. It will be published, it will be made available through the board, and, indeed, the response to it. That may require me to look again at the special measures improvement framework. As I've indicated in my oral statement, I will be happy to do so to make sure that all the required measures are in place and I will then transparently report back on progress made. It's an important part of the special measures framework that the health board didn't go into special measures at the convenance of a politician; there was independent and objective advice that it was the right thing to do. And in all of the progress—or lack or it—that has been made under special measures, again we have had independent assurance, both from the Wales Audit Office, from Healthcare Inspectorate Wales, and, indeed, the chief executive of NHS Wales. So, this is no one person providing advice, no one politician making decisions to benefit themselves individually. Frankly, it would have been to my own selfish interests to have seen them taken out of special measures and this report provide an entirely different conclusion. These are independent, objective and robust conclusions that have been reached both in the report, but also in thecontinued requirement to keep the health board in special measures, and that will continue to be the case as we report on progress or otherwise. I've indicated I'll report backon the wider improvement work that the rest of the NHS family is undertaking as a result of this report and we will have more to say on the safeguardingwork to be undertaken both in north Wales and what that may mean for therest of thecountry, too, involving health, local government and others working together.

Lynne Neagle AC: Can I thank you for your statement, Cabinet Secretary? I also welcome your recognition thatthe report does set out a range of failings that led to real harm being caused. I had a few specific points that I wanted to ask about in relation to the report. The first relates to theconcerns that are raised about thetreatment people get, with dementia, in A&E and in other medical settings in hospitals. I'm sure you'll be aware that Dr Katie Featherstone at Cardiff University has recently published a new report into the hospital care of people with dementia, and we know that 25 per cent to 50 per cent of hospital beds in Wales are going to have someone with dementia in them. So, it is absolutely critical that everybody in our NHS has the skills and awareness needed to provide person-centred care to people with dementia. So, I wanted to ask you what further lessons you feel what's been found in this report can bring for the wider NHS in Wales.
The report refers to the financial pressures, which, it says, have led to things like occupational therapists and themulti-disciplinary team not being available. I know that you are well aware that I've said to you previously thatI believe that patients on older people's mental health wards in Wales are some of themost voiceless citizens in our country. They're often on locked wards; they're not wards thatpeople go back and fore to very often. Some of them don't even have relatives to visit them. So, can I ask whether you think there are any further steps that can be taken to strengthen the profile of these patients at health board level, such as by having dementia champions on the board, et cetera, so thatthey are not out of sight, out of mind?
I very much welcomethe reference in the report to the need for clarity on legal frameworks in relation to the Mental Health Act and theMental Capacity Act 2005. I have to say that I think there are definitely wider lessons there for the NHS in Wales, as I genuinely don't believe that those Acts are being fully complied with across Wales. There are recommendations that there is new guidance issued, that these are kept under review and even audited on a patient-by-patient basis, which I really welcome. Can you say a bit more about how you intend to take that forward?
The report talks about the need for advocacy. A recent written answer I had off you confirmed that all health boards are currentlymeeting the all-age target on the provision of independent advocacy, but what I would flag is thatwe are well aware of the concept of an active offer of advocacy for childrenand young people in Wales. The current target under the Mental Health (Wales) Measure 2010 refers to people who have requested advocacy receiving it within five days, and I wonder whether you might want to say something about what more we can do to ensure that there is an active offer for older people as well, because there are real challenges in offering advocacy and ensuring advocacy take-up for older people with dementia, and I do think that particular measures need to be put into place.
Finally, I know that you are well aware of my view that we should move, at the earliest opportunity, to extend the safe staffing levels legislation to older people's mental health wards in Wales. I think that this report and the issues arising from it confirm the need for that, because many of the issues highlighted would be addressed by staff having the necessary time to do their job properly and to provide person-centred care. So, can you update us on your plans to extend the legislation? Thank you.

Vaughan Gething AC: Thank you for the range of questions. Forgive me if I don't answer all of them now in the time available, but I'm happy to take them up with you directly after today's proceedings as well. I think, actually, the pointyou raise about accident and emergency shows the scale of the challenge we face in dementia care, because people with dementia are a regular feature already of care within the hospital sector, and will become more so in future. We expect more people to be diagnosed, we expect undiagnosed people to arrive in our hospitals requiring care and treatment, whether in accident and emergency or in elective care, and it will be a bigger feature of health and care delivery here in Wales. Actually, the fact that the accident and emergency issue was raised shows that the HASCAS report did listen to what the families were saying, because it wasn't part of the earlier remit, but it was raised by families during the course of the investigation, and so the remit of its investigation was broadened to allow that view of the wider care and treatment pathway, to get a broader view on what was going well, as well as what wasn't going well, in providing health and care within north Wales.
I recognise your points about the range of activities that are provided to people, the range of recovery and rehabilitation that is still possible from a physical point of view, but also the fact that these are people who are, by their nature, vulnerable and often don't have a voice. So, your point about advocacy is well made, about there being a genuinely active offer, and that is work that we are seeking to undertake to make sure that—. The focus that we often have on children's advocacy is not often there when it comes to the older adult, which is surprising, and I think that it's largely because people assume that there is a family waiting to look after that person or advocate for them, and often there isn't, either because they don't have a family or because their family is no longer around, and that is a very sad reality that many of our older citizens face.
I also recognise your point about capacity and the work we're doing on the mental health Act and the review that is taking place across England and Wales with the mental capacity Act, and in particular the deprivation of liberty safeguards. So, there is work that we recognise needs to be done right across our system, not just in Wales, and we're working with partners across the four nations to understand what our approach will need to be in the future, because that can be difficult for the individual, for their family and the health and care system itself as well. We have already provided interim annual investment of more than £300,000to support health boards and local authorities to deal with the challenge that that has provided.
On the nurse staffing Act, I will come back to you, and I'll happily provide a statement to Members, on the work that we'redoing to deliver on the commitment of the Government to extend the nurse staffing Act. There are a range of different options and potential priorities that I've previously reported on, and it probably is time for me to provide an update, whether that looks at in-patient paediatric care, whether it's community nursing or, indeed, around care for older adults as well. So, I will provide a fuller update on that, and it's a useful reminder that it is about time to provide Members with that factual written update.

Llyr Gruffydd AC: May I thank the Cabinet Secretary for his statement this afternoon? Like many Members, I do feel it's unfortunate that this report does create a tone that almost questions the voice of the victims and the families of the victims. We read sections of the report that talk about them recasting their experiences in light of things that have developed later. Questions are raised on the behaviour of some families and things such as that. Of course, it points to some families who have had a positive experience, and that's fair enough, but that, in no sense, should actually invalidate the families who have had different experiences.
I have one simple question, and I want to makeone simple point. History has told us that, until the victim's voice is believed, then there can be no justice. I just want to ask the Cabinet Secretary: does the Government believe the evidence of the families of the victims here? If you don't, then it's no surprise that many of them will have no faith in this process.

Vaughan Gething AC: I think it's important that HASCAS were given a remit to independently investigate and reflect back on the evidence they found. That was the remit that they were given. You then have to accept that when that independent review is undertaken, when you accept the integrity of the people, that may well provide very difficult messages that are critical of the Government, critical of the health service, and don't always support all of the conclusions reached by individual Members of the public. That does not, though, mean that those people are not being honest.I refer back to what HASCAS themselves have said: 'Our report does not accuse any of the families of changing or elaborating on their stories. It does, however, make clear that many families had no concerns until the publicity surrounding an earlier report. They then wanted to know if their loved ones had been abused, and sought reassurance in this respect.'
When you look at the conclusions reached by HASCAS, it is very clear that they substantiate a wide range of the concerns and complaints made by families. Our challenge is how we deal with those and how we actually set out to properly improve upon those, to try and make sure that other families don't go through the same experience. That's partly about the individual care, but it is much more about the systemic failures that took place within north Wales. That's not—to go back to the point that the leader of the opposition made in a question to the First Minister—to say that, in principle, creating Betsi Cadwaladr was the wrong thing to do, but the report is very critical of the way in which the health board went about its business in those first few years, having a medically led model of delivery. The clinical programme groups in particular have been criticised previously, and it's no surprise that HASCAS, in their investigation, have criticised that model as providing a disjointed health board—so, the disconnection of the different clinical programme groups that didn't speak to each other, effectively quasi-autonomous organisations within the health board, and the three different cultures of the three provider trusts that previously existed. And it has produced challenges that are still here with us today. That is one of the significant challenges we still have to address to make sure, as I say, that once and for all those are addressed, confronted and resolved, to make it a better place for staff to work, but crucially a better place to deliver health and care for our people.

Thank you very much, Cabinet Secretary.

4. Statement by the Cabinet Secretary for Health and Social Services: The Report of the Welsh Task and Finish Group to Review the Use of Vaginal Synthetic Mesh

Item 4 is a statement by the Cabinet Secretary for Health and Social Services on the report of the Welsh task and finish group to review the use of vaginal synthetic mesh. I call on the Cabinet Secretary for Health and Social Services, Vaughan Gething.

Vaughan Gething AC: Diolch, Dirprwy Lywydd.On Friday, I published the report of the task and finish group that I established to review the use of vaginal synthetic mesh tape and sheets in the treatment of stress urinary incontinence and pelvic organ prolapse. This report provides a comprehensive account of the use of mesh in Wales and the problems associated with it. Importantly, it makes recommendations on what action we should now take to make necessary and rapid improvement. I thank the members of the task and finish group for the work they have undertaken. I do want to acknowledge the courage and commitment of those women who have worked tirelessly to highlight this issue. Whilst, understandably, they chose not to participate directly in the group’s work, the evidence that they provided has informed the findings and recommendations—and, of course, I've previously reported meeting a group of mesh survivors themselves.
All reviews to date have shown how difficult it has been to have a reliable assessment of the scale of the problem that can be linked to the use of vaginal mesh. However, what is clear is that while many women may have benefited from such treatment, some women have suffered serious and life-changing complications as a consequence. The report reaffirms this and provides clear advice on what needs to be done to support those who are living with the debilitating effects of mesh complications. It is also clear about the need to improve our approach to the management of pelvic health problems going forward.
There are clear limitations with the adequacy of our data to understand the level of complications. The report explains why this is the case and proposes some short term and longer term solutions to address this. However, what is clear from the data presented is the sharp downward trend in the number of patients who have had mesh procedures in Wales over past 10 years. During the course of this review,the National Institute for Health and Care Excellence published new guidance, in December 2017, stating very clearly that transvaginal mesh repair for vaginal wall prolapse should only be used in the context of research. I note the task and finish group welcomed this decision by NICE and had reached the same view. I, of course, expect that advice to be followed in Wales.
The report’s overall findings and recommendations fall within five key areas:the initial care pathway required to support women’s pelvic health and well-being, which includes access to multidisciplinary teams of clinicians incorporating continence care, physiotherapy, pain management and, where appropriate, psychology skills; providing better information for patients to ensure they can make a fully informed and shared decision about treatment options; ensuring GPs can have direct access to specialist advice, so they can better support their patients;making significant improvements in the processes associated with data capture of both procedures undertaken and any implants used; and ensuring access to specialist support for mesh removal by developing one or more fully accredited multidisciplinary specialist centres. I now want to ensure that the report’s recommendations are taken forward at pace.
What is particularly clear to me, after reading this report, is that we need to have a fundamental change in the way that the NHS supports women with pelvic health problems, moving to a focus on prevention and conservative therapies, with surgical intervention as a last resort. At the same time, we need to ensure there is early access to specialist support for those with treatment complications to prevent the worst outcomes. I am therefore establishing a ministerially directed implementation group to oversee specific areas of women’s health requiring urgent attention and improvement. In the first instance, its priority will be to oversee the implementation of the recommendations from the vaginal mesh and tape review.Alongside this, I also want the group to consider any recommendations arising from the endometriosis and faecal incontinence reviews that are in progress. The mesh and tape review highlights that we can expect there to be a number of overlapping areas that need to be brought together.
Following this initial focus, I will take advice from the chief medical officer and the chief nursing officer in determining what the group’s next priorities should be. The membership of this group will need to be flexible as, although the initial focus will be on mesh and tape, the group will require appropriate representation—both professional and lay representation—from across other areas of women’s health. I'm pleased that Tracy Myhill, the chief executive of Abertawe Bro Morgannwg university health board, has kindly agreed to chair the group.
I've made funding of up to £1 million a year available to support the improvements needed. There will, of course, be much that can be done within existing resources, through service redesign and potentially the shift of services from hospitals to communities, to ensure that a community-based pelvic health and well-being pathway is put in place in each health board across Wales. This resource should help these pathways becoming the norm across Wales on a consistent basis.In the meantime, I expect all health boards to consider the report’s findings and recommendations to consider what local improvements can be made immediately. Our aim must be to ensure women receive the best possible care and treatment when they present with stress urinary incontinence or pelvic organ prolapse, or any other complications as a result of existing treatment.
I've asked my officials to set up the implementation group without delay, and I will expect regular updates on progress. It will, of course, be important for the work to be underpinned by a range of measures in order to be able to demonstrate improvements in patient outcomes and experience. The group will also need to keep its work under regular review in line with any new evidence that emerges.I have also shared the report of the task and finish groupwith the chairs of theMedicines and Healthcare Products Regulatory Agency andNICE, and asked that it informs their ongoing work in this area.I believe these steps provide the opportunity to have a much-needed focus on women’s health and enable the NHS to tackle key areas that have long needed improvement.

Janet Finch-Saunders AC: I'd like to begin by thankingthe Cabinet Secretary for taking many of the concerns forward by commissioning this work in the first place and then, again, through your statement here today. Because I've got to be honest, I was totally, myself, oblivious to this issue until it started presenting to me in my own constituency office. Some of the numbers that I've had, and the harrowing experiences by, I have to say, predominantly women, have being quite, quite startling.Then, of course, I've been well aware that many patients that have suffered are now taking to social media, and trying to—you know, we've all been copied in. I admire these people because many of them are patients who have suffered, and they're not suffering in silence. They are getting out there and trying to put out the warnings about just how unpleasant—if things go wrong—this mesh is.
Of course, I need to remind the Chamber that the issue of synthetic vaginal mesh, or the tape, is not one that just affects women, because I think there has been a tendency for it to appear that it's just an issue affecting women. I understand that where it could apply to affecting men hasn't been part of the review. But, of course, it can be used as a hernia mesh for male and female patients. The side effects of the problems caused by mesh are wide-ranging. We're not only talking about the physical pain that patients are constantly in, but also the associated mental issues related as a consequence. Confidence is lost and many people suffer depression whilst struggling to cope, and evidence does suggest that the numbers are increasing as the years roll by, because it is, actually, after a number of years post operation that problems can start.Many patients are calling for an overall banon this procedure, and I worry that this is something that you will not confirmfrom your statementtoday. The National Institute for Health and Care Excellence in England have called for a ban of the use of vaginal mesh, an action that has been taken in New Zealand and Australia, and where it has been referred to as the biggest health scandal since thalidomide. Across the UK, aboutone in 11 women have experienced problems. In Scotland, former Scottish health Secretary, Alex Neil, requested a suspension of mesh implants by the NHS in 2014, but figures obtained by the BBC in December 2016 showed that hundreds of operations have been performedsince. And it is worthnoting that a number of Scottish health boardshave stopped using mesh implants all together.
Cabinet Secretary, we are grateful for this statement, but it doesn't go far enough. There is clearly the evidence, the public support and examples of where this mesh treatmentis causing horrendous, life-changing problems. Therefore, why will you notcommit to following the examples of Australia and New Zealandand bring in an outright ban at the earliest possible opportunity? Now, the dilemma for me here today is that in my own constituency I have a number of patientswho have approached me, and I'm dealing with their casework, who are, as they describe, living in agony. But at the same time, I have cases where the mesh procedure is to be implemented quite soon on patients who are suffering. Now, they've raised concerns, or tried to, with the consultants, and it has to be said, they get fobbed off. They raised their concerns with GPs, and there just isn't a clear line on this, and I do think that we need something more definite from you as the health Cabinet Secretary responsible for the health our women and men across Wales.
So, would you explain why the report has based all its figures on mesh implants, mesh removal and over-sewing. Why have outpatient appointments, covering all documented side effects, been omitted? In recommendation 3.2, you state:
'Meaningful estimates of complication rates related to mesh procedureswould require a retrospective audit'.
Does this mean you will instruct an audit to take place? If not, why not? I certainly would if I was in your shoes.
In recommendation 3.21, do you not agree that the low numbers reported in Wales could be due to it not being mandatory for clinicians to report adverse incidents to the MHRA, and also the difficult nature that may mean that the numbers held by the MHRA are inaccurate? You really should be going all out on this now to establish the absolute and exact state of play here.
What can be done to rectify this? Recommendation5(c) states that
'Only one health board in Wales currently has a multi-disciplinary pelvicpain clinic.'
So, you know the natural progression there is to make sure that we've got that available again for everybody in Wales. However, in a responseprovided to Neil McEvoy in Plenary on December 13 last year, you stated:
'My understanding is that, yes, we do have multidisciplinary teams around each surgical procedure. '
Can you now clarify which is accurate—your report or your responseto Neil six months ago in Plenary?
Recommendation 6(a) states that
'Ways for GPs to have direct access to specialist advice should beestablished.'
How will this be monitored and how soon will it be rolled out?
Finally, Cabinet Secretary, why, when the UK Government has conducted an audit into the effects of vaginal mesh implants, is your Government still stubbornly refusing to do so? What are you worried about? Why are you not putting the interests of Welsh patients first? And I respond to you today on behalf of myself, but also on behalf of Angela Burns, Assembly Member, who sadly cannot be with us today. She is very concerned about this. She is speakingto the people, like I am, on this. We have this issue approachingus as Assembly Members on a very regular basis. It is down to you, Cabinet Secretary, to make sure that you have a very steadfast approachto these concerns. Thank you.

Vaughan Gething AC: Thank you for those questionsand comments. I make no apology for saying that thehernia issues are separate matters, with a differentgroup of surgeons anda different process in place to understand thelevel of complications that exists. This has been unashamedlyfocused on women's health issues,and, bluntly, if the same level of complications had affected men's health issues, I suspect we would have heard about them much sooner.
I'll deal with your final point first about the multidisciplinary teams. Of course, recommendation 5 deals with multidisciplinary teams for pelvic pain clinics, as opposed to broader multidisciplinaryteams that are in place around surgery. There's a challenge here about making sure that we have the right number of multidisciplinaryteams in place, including, of course, for a specialist centre for mesh removal, and to look at one or more of those, and in particular about what happens currently in south Wales and having an accredited multidisciplinarysurgical removal centre, but also about the continued use of Manchester for patients in north Wales.
On your points around the banning of—. No, I'll deal with your audit point first, before I come back to the point about banning mesh, which has featured very heavily in what we've been asked to do over a period of time. If we look at the auditing that's taken place in England, they're looking at it on an experimental basis in England to try and retrospectively audit what has happened. What's been helpful is that, between officials in the Welsh Government and the Department for Health for the UK Government, acting for England, there has been a really constructive transfer of information about the audit taking place, and there are similarities in the range of challenges that we expect the audit in England to reveal. Before I look to undertake retrospective action, where we can't be sure of the exact value of that, I am interested, though, in understanding what happens in England and what lessons we can learn from that, as well as looking more proactively at the issues for new implants of medical devices.
There is a European Union directive, due to be implemented in 2020 or 2021. Of course, that will still be an issue for us, regardless of what the transitional deal is or isn't agreed by the United Kingdom Government and our relationship with the European Union. But that is looking at being able to understand and have a proper register what devices have been implanted into people more generally. Now, there is a challenge there about understanding whether they're able to scan that and understand how that's done, and that is covered in the recommendations in the report. In taking forward these recommendations, we'll need to determine what our approach to that will be. That is not something that is simply covered over or about to be forgotten. And that will help us to deal with some of the requests from the women involved. In the requests they gave us, I think on pretty much every area we're going to be able to show progress, apart from the issue of a ban.
You mentioned Scotland, and the request for a suspension made by the Scottish health Secretary. Well, it's a matter for the Scottish health Secretary to answer for themselves about their approach, but, as you say, a range of people have still undergone mesh implants since that time. That's because the Scottish health Secretary, just like me, doesn't have the power to ban mesh implants. The challenge is that whilst these are regulated devices that are available, and are available for use, it is an issue of consent between the health provider and the individual citizen about whether they wish to have the surgery provided.
Now, as I say, there are a number of women who have had the surgery without complication. Part of what the women asked us to look at, and partof the terms of reference for the task and finish group, was about properly informed consent to make sure that people really did have the challenges and the risks explained to them, to make sure it really is a very last resort. And even then, some women will choose not to have the surgery, and that should be an informed choice to make, just as women who do choose to have surgery, if that is their choice—it must be their choice on a properly informed basis.
I have, though, written to the MHRA asking them to reflect on the regulated decisions in Australia and New Zealand in particular to ban mesh. The MHRAhave responded and said that they do not intend to do so. However, since then, the Cumberlege review is in place to look again at a number of these issues, and there will be engagement both from the NHS and the Government in that review, and I expect women from across Wales will engage in that review too. So, this is not an issue that's about to go away. Whilst I don't have the power—and you'll understand why politicians don't have the power to ban in particular surgical devices or equipment available for the health service—we are fixed with a proper division between a regulator's power and the power that a politician has. But as I say, I have provided them with a copy of this review, and I look forward to the Cumberlege review and what that will tell us and about this decision being kept properly under review in light of the evidence available.

Rhun ap Iorwerth AC: May I thank the Cabinet Secretary for the statement? And I thank those women as well who showed such bravery and commitment in working tirelessly, as you said, to underline this issue. And, yes, women have suffered complications that have changed their lives. I welcome elements in the report relating to several elements of this: the need to work proactively on the preventative aspect to prevent women from having to have surgery in the first instance; the need to stick to NICE guidelines and increase awareness of those guidelines—as with so many things, there's a weakness in the way that this Government operates in general, the failure to keep the kind of data that allows us to plan better health services; and also the specialist centre for tackling the mesh issue—the funding for that is to be welcomed, of course. But, I have several questions,nevertheless.

Rhun ap Iorwerth AC: The report highlights that some women, having described their symptoms, were dismissed by medical professionals who had wrongly ascribed symptoms to normal post-operative pain, perhaps. Many women felt they were patronised as a result of that, describing their battles, frankly, to be taken seriously. And this isn't the first time that we've seen this kind of thing; we remember, back in the 1990s, with chronic fatigue syndrome. Can you, as Cabinet Secretary, be a little bit more specific about how that particular issue can be addressed, how awareness, for example, can be raised, and how attitudes can be changed, so that people with unexplained symptoms are regarded as patients first and foremost, with symptoms that need investigating, rather than as people who should frankly just accept a little bit of pain? Because we know now, through the hard work of people who have campaigned for change here, that what was dismissed now has to quite rightly be taken very, very seriously.
The report also highlights the weaknesses with the adverse reaction reporting system for medical equipment, for the medicines healthcare regulatory authority.It's not somethingthat is devolved, but can you describe how your department is going to try to improve that system so that we have earlier warnings?
Finally, regarding the specialist centre for mesh removal, whilst welcome in itself, we could do with something a little bit more concrete in terms of timescales, so I'd be grateful for a proper timescale for that development, so that people can see that words now will turn into action in the not distant future.

Vaughan Gething AC: Thank you for those comments. There are broadly three questions provided in there. On the point aboutwhether women who were not believed, and the battle to be believed, and how that will be overcome, well, the significant publicity around this—again generated by, as I said in my initial statement, the courageous and determined women who raised the isue—is part of that. The patient safety notice that was issued by the chief medical officer in 2014 is a part of that. The work undertaken by NICE is all a part of that.These are a range of different measures that are being undertaken to try and make sure that people are believed.
And there's also a broader challenge here about the way in which health and care are delivered, and it goes back to prudent healthcare, a concept started in the middle of the last Assembly term here in Wales. It's about understanding what matters to the patient, and about having a much more equal relationship with that person and the healthcare professional. And when that person raises concerns, rather than simply dismissing them and taking a rather more paternalistic approach, it's actually about listening to that person to understand what is happening and to recognise that they do have a continuing health and care need.
In addition to your point about GPs, I think it's worth while referring to recommendation 6 and how we take it forward in ensuring that there is access to specialist advice for GPs. It was part of the concern by the GP representative on the task and finish group to make sure that GPs themselves are properly equipped in being able to understand, not just potential symptoms, but then where they could go for that specialist advice, help and support. That comes back again to the opening of this that there was not a high level of awareness of the problems as they were being reported, and I do think, bluntly, that if there'd been a men's health issue, there'd have been a higher level of awareness and higher and more immediate acceptance of the challenges that people were facing in reality.
In terms of your point about when and how we'll be able to take forward the recommendations, including the specialist centres, well that's why I've announced there'll be an implementation group to take that forward, with the requisite level of weight within the health service. So, that's why there'll be a chief executive of one of our larger health boards taking forward and chairing that group, and understanding the right number of people who will need to be on that to understand how we draw up those service plans and then to make sure there is funding to try and advance that as well, rather than simply asking people to eat into current resources. You will understand that, in the financial position that we are in, adding new money to this area is a significant commitment when we're looking to make compromises in other areas of delivery.
So, this is a real priority, and I do recognise there is more that we will need to do. I mentioned the endometriosis review that is coming in as well, and the faecal incontinence review that is coming in as well, to make sure that we don't just see these issues in isolation, but understand them together, and make sure that we do see a real improvement. When I have more definite timescales, I will of course report back to you and other Assembly Members.

Caroline Jones AC: Thank you for this and your earlier statement, Cabinet Secretary. Complications relating to vaginal mesh implantshave left thousands of women, worldwide, living in constant, debilitating, chronic pain, and it is therefore welcome that the Welsh Government undertook a review of the use of such implants. I would like to thank Professor Emery and his team for their report.
Whilst survivor groups would like an immediate ban on all use of such mesh and tape implants, I accept that these implants have benefits for some women, but their use should not be widespread and should be controlled. I therefore welcome the task and finish group’s recommendations to improve the pathway, to encourage greater informed choice and to affirm that mesh surgery should be a last resort.
Cabinet Secretary, the task and finish group made a number of recommendations and I am grateful that you have indicated that you support their implementation. When do you expect the implementation group to complete its work and ensure that all recommendations are put in place?
Cabinet Secretary, are you aware of the research being undertaken at the University of Sheffield, published in the journal 'Neurourology and Urodynamics', which supports the use of a softer and more elastic material, better suited for use in the pelvic floor, and one that releases oestrogen into the surrounding pelvic tissue to form new blood vessels and ultimately speed up the healing process? They concluded that a different material, polyurethane, would be a much better material to use as a vaginal mesh due to its flexibility and its likeness to human tissue. The next step is clinical trials. Cabinet Secretary, can you ensure that Welsh patients have access to these trials?
I look forward to seeing the details of the new care pathway and support available to women who have stress urinary incontinence or pelvic organ prolapse. Diolch yn fawr, thank you very much.

Vaughan Gething AC: I'll try to deal with the point the first question raised about the implementation group and the timescale to complete their work. I will of course report back to Members, but as the group has yet to meet, and to consider how to take forward those recommendations, I'm not in a position to give an undertaking or commitment on that today, which I hope Members will understand. But I will report back about that.
On your second point about the research published by Sheffield, there's a variety of research that is carrying on about alternative surgical options, whether that is artificial or biological material to be implanted. But I can't really comment on the clinical trial that they're looking to undertake. I will, though, look to discuss with my officials to see if there is something useful that we can come back to Members with. But of course the Government isn't in control of those clinical trials and access to patients.
What's interesting in the task and finish group report is that I think there are some people they can identify who are more likely to be at greater risk of complications or having significant pain after the event. There's something about understanding and having that conversationabout generallyinformed consent will be women that are involved. Because, as Isay, whilst mesh has not been banned, whilst I donot have the power to ban mesh—even if I were minded to do so, I don't have the power to do it—we do need to make sure that consent is generally informed and that people understand the nature of what the current problem is and the treatment availablefor that, but also the risks and the potential benefits of any form of surgery, whether it involvesmesh or not. And that was a really clear part of both the taskand finish group's report, but also Members who wish to see a change in practice said, 'If we didn't have a ban, we need to make sure there was a real change in consent.' One of the more upsetting things that I heard about this particular issue was where people said that they justweren't told properlywhat the risks were, and that there was no problem at all with it. And that can't be a way to practicehealthcare in the here-and-now today, let alone in the future.

Jane Hutt AC: Can I thank the Cabinet Secretary for your statementtoday and can I welcomethe recognition, at long last, of the adverse impact of the use of synthetic tape and surgical vaginal mesh sheets for treating pelvic organ prolapse and stress urinary incontinence, leading to appalling, long-term and life-changing consequences for women's health? I welcome the recommendations in your report that relate to preventative measures and conservativemanagementof these conditions and with surgeryas a last resort. I welcome also, for example, the recommendationfor a new pelvichealth and well-being pathway. And can Ithank the Cabinet Secretaryfor meeting with my constituents, Jemima Williams and Nicola Hobbs, whose lives have been so adverselyaffected by vaginal mesh implants? I'd like to praise them for their courage and theirleadership in the Welsh Mesh Survivors group. But can I clarify, Cabinet Secretary, the position regardingmy constituents, Jemima and Nicola, and the task and finish group? Becausein your written statement you said that they chose not to take part in the group, but can I draw attention to the context of their decisionnot to take engage? They were deeply concerned about the membership of the group, the papers presented to the group and the lack of notice and draft termsof reference, because both also are suffering from constant pain and severe ill-health.
But it was very helpful that you agreed to meet them, with me. Can you confirmthat you took full account of their full and harrowing evidenceat that meeting? They did provide an extensive folder of patient experience of adverse impact. And also, can you confirmand clarify, Cabinet Secretary, what cross-border engagement is taking place to share clinicalexpertise, evidence from patients, mesh sufferers and funding also that could be availablefor referralto mesh removal experts?
Finally, as you are aware, the Welsh Mesh Survivorsgroup are calling for mesh use to be suspended until a full audit has been carried out. And it's hard to believe that the procedure can still take place in Wales, despite the point that you made today in your statement, that all reviews to date have shown how difficultit has been to have a reliable assessment ofthe scale of the problem that can be linked to the use of vaginal mesh. That is as we are today. So, Cabinet Secretary, will you consider holding a retrospective audit of the use of mesh in Wales and consider suspending the use of vaginalmesh until this takes place? Thank you.

Vaughan Gething AC: Thank you. I can confirm that in relation to your last point, and I'll link that to the cross-border work on evidenceand progress, as I indicated in response to the first set of questions, the audit being undertaken in England is on an experimental basis and has not been undertaken in that way before. And I will, of course, be interested in the evidence provided by that and officials are engaged around the review being undertaken by the Department of Health. I would not expect there to be a significant differencein the number of problems that arise from these procedures. So, we have to start by recognising that there is a problem here in Wales. We know that becausewe have people who have survived complications and are living with them now. And part of our challenge is understanding the number of people and understanding the reluctance of some people to come forward. It is quite easyto understand why some people do not wish to highlight the problems that they have, particularlyif they feel that they've not been believed at an early stage when complications were arising. And removal can be complicatedand difficult and not always completely successfulsurgery. There are risks in that too.
As I've said in response to a number of people already and I tried to say at the outset, I'm not in a positionto ban mesh. I'm not in a position to suspend its use either. What the report, though, does make clearis it should be a last resort. As I said, people then say, 'Well, what is a last resort?' Well, it's something about making sure that all of those conservative non-surgical treatment options are exhausted first, and that's why there has to be a proper focus on making sure that we have a more consistent arrangement surrounding the multidisciplinary teams to make sure those options are provided early, and then, when going through any treatment options, that the potential consequencesof each of them are highlighted to the women involved. Becauseas I've said, I do recognise that some of the real challenges that we have understood are not that the risks have been explained and peoplehave gone in with their eyes open about thoserisks, many women have said they were simply not given a genuinely informed basis upon which to make that choice about whether to consent to surgery or not.
In terms of the attempt that was made in attempting to try and have people who were living with the complications of mesh engaged in the task and finish group, having decided to set up the task and finish group, I wanted to make sure that there were people living with those complications who could input into that work. That meant the invitation was at relatively short notice, with the terms of reference, the people involved and indeed the evidence they would be considering. It wasn't just at that early stage, though, that an attempt was made to involve women in that work. Throughout the life of the task and finish group, for a number of months, we've tried to find a way in which they could have a real input, either to the whole group or to members of it. That proved not to be possible. I absolutely do not wish there to be any kind of criticism inferred or taken from that at all as to the decision that those women made not to engage directly in the work of the task and finish group. I think it's easy to understand why they chose not to do that. But, they did however continue to have an input around that.
As you are aware, we met your constituents to have that conversation and their accounts and the written evidence they provided were taken into account and were provided to the task and finish group, and it's part of the reason why the work of the task and finish group was extended, becausethey did consider the evidence that was provided by both Jemima Williams and Nicola Hobbs, and it's referenced in the report. So, I hope that does help provide some assurance that their evidence was taken seriously. And in taking forward the work of the implementation group, we need to find a way for women themselves who are living with complications to actually have an input into the work of that implementation group, as well as those people who are on the pathway already and are undergoing conservative treatment options in the here and now. So, there is much more for us to do and, as I've said in an earlier response, I will happily report back to Members on the work that is being undertaken and the progress that we're making.

Jayne Bryant AC: Thank you, Cabinet Secretary, for your statement today, and I'm glad the Welsh Government's task and finish group have now completed their report. The Cabinet Secretaryis aware that I, like many other Members here, have heard the heart-breaking experiences of constituents suffering from the impact of surgical pelvic mesh implants—experiences of women being left in agonising pain and with extreme worries about the future. For women like my constituentwho first brought this to my attention, financial and professional worry still come with the long-term physical and emotional pain. Indeed, my constituent has said that this has had a devastatingeffect on both her and her family. I'd like to take this opportunity to pay tribute to my constituentsand all the other women who have come forward to bravely share their harrowing experiences. So, whilst I welcome the task and finish group's report, can the Cabinet Secretary provide reassurances that any new pelvic health and well-being pathway will include listening to patients' ongoing concerns?

Vaughan Gething AC: Yes, I really do recognise the life-changing consequences that mesh complications have had for a number of women, including the correspondence and your questions in this Chamber and the conversations we've had outside it, about the physical, social and financial consequences, but also about the very real impact on people's relationships, not just with partners, but with a whole range of other people that the pain and discomfort has caused, and also a lack of trust with people who theytrustedat the outset about the advice given, and indeed trust between healthcare professionals as well about the treatment options that have been provided.
Your point about listening to people directly engaged and involvedis essential, not just as part of our continued improvement and prudent healthcare and whatthe parliamentary review has told us we will be taking forward in particular; this really highlights where, if you don't understand what matters to the person and what risks they're preparedto accept, how they have genuinely informed consent, where informationis made available to them not hidden from them, but genuinely made available to them so they can make choices about their treatment options, then you understand why people end up in this position where they don't trusteverything that is done around them.
It is essential, therefore, that in taking forward the work of the implementation group and taking this report forward, the patient voice is absolutely central to what is done and how that is then explained. Much of the task and finish group's report does focus on how information is provided to people to make choices and for them to say what matters to them. So, I take on board the point, and I can give that reassurance that that will be an essential part of our work moving forward.

Neil McEvoy AC: Cabinet Secretary, on 13 December I asked you:
'Given the growing number of mesh implant survivors, England has adopted multidisciplinary teams of specialists who support patients who have had issues with mesh and advise them on treatments. Do these multidisciplinary teams exist in Wales and, if so, where are they?'
You commented, as was mentioned earlier, that
'we do have multidisciplinary teams around each surgical procedure.'
Now, that is simply not the case, and I'd like you to correct the record today.
Moving on, if we look at pages 6 and 7 of the report, people were informed incorrectly about the potential risks and life-changing effects in consequences. People were not warned of the potential devastating life-changing complications. There was an inadequate consent process. People's problems after operations were disregarded and put down to just simply post-operativesymptoms. People were turned away and made to feel like they were making a fuss, and I read here that consultants reduced some people to tears, and that there were inappropriate referrals to other specialist areas, and so on. It's a pretty grim report, and people have been permanently disabled. So, another question that I have is: what is going to be done to compensate these people?
Thirdly, an expert panel was set up in Scotland on this matter in 2013, in England in 2014. The Welsh NHS was invited to take part then. In December 2014, an oversight group was set up in Engand with no Welsh NHS input. Action was taken in the United States in 2014. So, why did the people of Wales have to wait until October 2017 for the task and finish group to be set up? Was it your negligence or was it the negligence of your predecessor?I don't understand why it's not mandatory to report on problems that have been reported to doctors after surgery has taken place.
I want to move on now to your—

No, sorry. You can't be moving on—

Neil McEvoy AC: It's a question.

A question then, please, because we're short of time as well. Thank you.

Neil McEvoy AC: So, that was a question. My next question is: what about men? You seem to dismiss hernia operations. People suffer the same problems using these meshes. I spoke to a constituent just before walking in this Chamber earlier, and he still does not know what material was put inside his body. That's an absolute scandal. Will you undertake to make sure that my constituent is told exactly what was put into his body without his consent? Will you undertake to do that?

Thank you. Cabinet Secretary.

Vaughan Gething AC: Obviously, I can't comment on individual matters that I'm not aware of, but your constituent should approach the health board where the procedure was undertaken. I would expect that information to be made readily available to him.
I also need to deal with the point about hernia that I mentioned in response to Janet Finch-Saunders at the outset. Of course, hernia operations are undertaken on men and women, and I've indicated previously in answer, I believe, to questions from Jenny Rathbone that we would be looking to undertake, and we are looking to undertake, a review of hernia procedures to understand if the same level of complicationsexist. But it is the case that people do react differently. It is the case that between men and women there are procedures undertaken that simply don't affect men. And, as I say—I make no apologies for saying it again—if a similar issue had affected men uniquely, then I do not believe that it would have taken this long for that problemto have been highlighted and for further action to be taken. I set up the implementation group to look at this issue and the issues that arise on the recordfor improvementand the range of linked women's health issues that I've mentioned, both endometriosis and faecal incontinence.
There is, of course, more that we need to do, to do consistently and at pace. That's why the implementation group that I have directed be created. And I certainly don't defend a failure to provide genuinely informed consent. I've made that very clear, both before today and on a number of occasions during today as well.I go back to multidisciplinary teams. Multidisciplinary teams do exist as a matter of course around surgical procedures. Our challenge that this report lays out for us is whether we have the requisite amount of expertise within those teams, whether they're as consistent as they need to be,and how we actually recommit ourselves to improvement. That does not mean that there is a widespread failure to do what is right. It does mean you need to take the opportunity to improve, and that means that you have to accept that there is a challenge to be resolved in the first place to be able to set yourselves out on a path to improve on current process and current action. So, I see no reason to correct the record.I'm accepting the recommendations that we have, and I look forward to reporting back to Members in the future on the action that the NHS will undertake to deliver that required improvement.

Thank you. Finally, Jenny Rathbone.

Jenny Rathbone AC: Thank you very much. I'm particularly interested in prevention and causes, because, obviously, prevention is much better than treatment, and we need to obviously ensure that the treatment is appropriate. We have to remember that thalidomide was once prescribed as a way of dealing with morning sickness. So, clearly, this has been latched onto as something for dealing with incontinence and prolapse. The issue really is what we can do to support people not to have incontinence and prolapse—things like preventing third and fourth degree tears and, where possible, ensuring they're sutured by an appropriately qualified,appropriately skilled doctor.
I'm interested that other European countries systematically refer all women who've had babies to a physiotherapist prophylactically because, often, the problems that are later encountered by women aren't immediately evident but could be detected by a physiotherapist. So, a thought tobear in mindas we'reconsidering future treatment.Of course, how much of this is something that women previously used to put up with because,before the NHS, women had to put up with incontinence and prolapse because they didn't have the money to get it rectified—.
One of the issues that concerns me about the report is where we are told that the task and finish group approached both the British Society of Urogynaecologyand the British Association of UrologicalSurgeons for data on the numbers who had undergone this procedure and, to date, they have not had a reply nor, indeed, the clarification that not all surgeons in Wales are necessarily registered with these bodies and, therefore, wouldn't have been able to record their data anyway.So, there's a clear indication there that we need to use digital technology to ensure that we have the data that my colleague Jane Hutt is now calling for retrospectively to be arrived at.
I'm very pleased that you'retaking forward the task group in association with the anal sphincter injuries task group and the endometriosis task group, because, clearly, these are related matters, and I look forward to the linked reports when they're ready to be published. Thank you.

Vaughan Gething AC: I'll deal with—I think there are three particular points coming from that. The first is on a point you've made previously about physiotherapy, and what I'll do is I'll try and make sure that someone from the chief nurse's office is able to provide us with a note on care for women after pregnancy and to understand the roleof physiotherapy. I know you've made the point in particular about France, for example, where physiotherapy is offered as a matter of course after birth.
I recognise the point you make about voluntary registries by the two relevant professional bodies, and it is disappointing that those two bodies did not provide information when requested to in the way that it was requested.
That leads into the point around medical coding and recommendation 7, which looks at the coding that we should have available, the improvements that we could and should make in the here and now, as well as the longer term choices we have to make about understanding which implants are put into people—of whatever form, not just in this area—and understanding where that is made available, but, crucially, the requirement will be that that information is publicly available, and so I think will provide real transparency about what has been implanted and where and allow us greater transparency and audit for the efficacy both of those operations and any post-operative complications. So, there is more work for us to do, and that is definitely covered by the recommendations the report has made, and, as I say, I look forward to reporting back to this place on the progress that has been made at a future point.

Thank you very much, Cabinet Secretary.

5. Statement by the Cabinet Secretary for Economy and Transport: Ambitions for Great Western and North Wales Main Lines

Item 5 on the agenda is a statement by the Cabinet Secretary for Economy and Transport, ambitions for Great Western and north Wales main lines, and I call onthe Cabinet Secretary for the Economy and Transport,Ken Skates.

Ken Skates AC: Diolch, Dirprwy Llywydd.
Following the cancellation of electrification on the Great Western main line between Cardiff and Swansea, the Secretary of State for Transport announced the development of business cases for rail enhancement schemes across Wales, including improvements to the main lines in south and north Wales, enhancements to the line between Wrexham and Bidston, and improvements around Swansea and to Cardiff Central station. This commitment is welcome. I have made it clear to the Secretary of State my expectation that development and delivery now needs to happen at pace to implement early in the next decade improvementsfor passengers in Wales who are experiencing slow speeds, poor reliability and inadequate network facilities on a daily basis.
Electrification of the Great Western main line is a starting point forfuture enhancements; it is not the final destination. The next Wales and borders rail services contract—the first to be designed and delivered in Wales—will deliver transformational change to passengers. However, our train services rely on efficient and reliable railway infrastructure to deliver the speeds and capacities that meet the connectivity needs of people in our cities, towns and rural communities.
I have also recently shared my ambitions for the new Great Western franchise with Members and reiterated my expectations for the west coast partnership franchise procurement with the Secretary of State. Back in 1977, it was possible to get from London to Cardiff on the then new high-speed train services in one hour and 45 minutes, 15 minutes shorter than the current fastest journey times. At that time, the service to Manchester from London took 2.5 hours. As a result of the £9 billion west coast main line upgrade in the early 2000s, Manchester is now just two hours and five minutes from London, the same as London to Cardiff, even though Manchester, of course, is 50 km further away. This investment has also allowed journeys from Stafford to London in one hour and 20 minutes—a similar distance to Newport to London, which is 30 minutes slower.
Following the curtailed electrification of the Great Western main line, Cardiff to London journey times will, at best, be one hour and 45 minutes, the same as 30 years ago, and Swansea will still be two hours and 45 minutes. Similarly, the train journey from Cardiff Central to Bristol Temple Meads is slow and infrequent, hindering the development of stronger cross-border economic bonds.
Meanwhile, the UK Government is investing £55 billion in high speed 2 line to further reduce journey times to Manchester to just over one hour and to provide significant improvements in journey times across the midlands, the north of England and Scotland. If the UK Government make the right choices on HS2, particularly around the Crewe hub and proposed service patterns, it will provide significant economic benefit to north Wales.
Connectivity across the south-east of England is being further enhanced by the £15 billion Crossrail scheme and across the north of England through the £3 billion trans-Pennine route programme, while ambitious plans are being developed for Northern Powerhouse rail and Crossrail 2. Whilst these investments will deliver much-needed capacity on the UK rail network, their impact on journey timeswill be even more significant. Those places being directly served by HS2 will benefit from significantly faster journey times to London, potentially reducing the competitiveness of locations in Wales for inward investment.The UK Government's own figures suggest that HS2 will have a negative impact of up to £200 million per annum on the economy of south Wales.

Ken Skates AC: Now, as we look beyond Brexit, Wales's connectivity with Britain's economic hubs and international gateways becomes even more important. We in Wales cannot afford to be sidelined and must develop a positive and compelling case for major transport investment that addresses both our economic ambitions and our broader well-being objectives. We rely on the UK Government to provide funding for enhancements to rail networks in Wales, but we cannot stand in the margins complaining; we need to set out our expectations for the network and be clear about the anticipated social and economic benefits.
As a starting point, we will set out some overarching needs, which include: improving connectivity and reducing journey time between cities in Wales; expanding the city region areas across Wales; growing cross-border economies; enhancing connectivity from Wales to London; improving access to airports; maximising the potential benefits and offset negative consequences of HS2; providing compelling journey choices to users of the congested M4 at Swansea; and meeting trans-European network standards. These requirements have many inter-dependencies. The solutions will include multiple complementary projects. A strategic outline programme case is a way to pull these strands together, ensuring that the economic, geographical and social context within the potential schemes are developed and are consistentand universallyunderstood. I have asked Professor Mark Barry to lead on this, working with my department and Transport for Wales.
Since HS2's impact is different across Wales, Professor Barry will be producing one case for north Wales and another for south Wales, and we will not be neglecting the Cambrian line through mid Wales, which also provides important connectivity within Wales and across the border. This work will inform the individual scheme strategic outline business cases currently being developed by Transport Wales and the Department for Transport, and the purpose of these programme business cases is to establish the need for investment and to articulate high-level outcomes. They will establish an overall vision for the future of the north and south Wales networks that meets the Welsh Government's and, indeed, other key stakeholders' aspirations. They'll also identify and consider options for investment that complement the ongoing work to design and deliver metro systems in north and south Wales.
From this, those options that merit more detailed investigation will be identified and developed through a detailed business case process where we rely on the UK Government to take decisions in the interests of travellers in Wales in order to complement the investment that the Welsh Government is making in improving its own transport infrastructure. At this early stage, no options have been ruled in or ruled out. To determine the most appropriate interventions requires a strategic approach and a long-term plan and one that builds upon Network Rail's route studies, local authorities' and city regions' plans and ambitions, and which alsocomplements the enhancementplans of the Department for Transport and wider UK Government.
We are committed to work with agencies on both sides of the border to deliver an integrated transport system. This means links with our major city regions, between them, and across the border to England, building on my recent meetings with the metro mayors of Manchester and Liverpool, our memorandum of understanding with Transport for the North, our work with Growth Track 360, Merseytravel, Midlands Connect and the West of England Combined Authority. This work is being undertaken using our own WelTAG guidance and will meet UK Government requirements. I want to see an ambitious programme of improvements that deliver a step change for passengers and that, regardless of final deal reached in respect of Britain's exit from the European Union, result in the main lines in north and south Wales developed as trans-European corridors by meeting standards currently applying to them under regulations.
It is my intention, Deputy Presiding Officer, to subject some of the emerging proposals and choices to a public consultation in the second half of this year. We are determined that, in the future, schemes coming forward will be robust, deliverable and based on a sound strategic imperative and economic analysis. I want to see enhancements to the rail network that deliver on the broader objectives I described earlier and, in doing so, provide a firm foundation for the Welsh economy and its future development.

Russell George AC: Can I also thank the Cabinet Secretary for his detailed statement thisafternoon? I can agree with much of what the Cabinet Secretary has outlined. It's interesting that he mentioned that journey times in 1977 were actually faster between London and Cardiff than they are today.
With regard to your list of overarching needs, I was pleased to note that you've made reference to access to airports. Particularly, I'm thinking of Manchester, Birmingham and Liverpool—all important airports, of course, for mid and north Wales. I'm sure I don't need to tell you, Cabinet Secretary, about that. But it'd be interesting if you could, perhaps, expand on your ambition in that regard. From what I've understood, you've outlined that Mark Barry is going to undertake a strategic outline programme case, and two cases are being proposed, for the north and the south. It would be usefulto have some timelines on that for when those cases and reports will be reported to you and when you'll be able to report back to Members. Will this happen before the consultation thatyou have outlined that will take place later this year? I was pleased to see that you made reference to the Cambrian line and mid Wales not being neglected, but I'd be interested to see if that does sit in your north Wales case or your south Wales case. It's surely got to fit in one or the other.
I'd also like to ask you, Cabinet, Secretary, how your plans dovetailwith existing policy documents that theWelsh Government hasalready published. How, for example, do you intend for your ambitions that you've outlined today to complement the existing economic action plan? And also, how are the proposals that you've outlined today going to directly complement the growth deals, which, of course, have a huge potential to drive forward economic growth right across Wales?
Can you also specifically outline how your ambitions will benefit Welsh commuters based in both urban and rural communities across Wales? Now, it's my view that it is, of course, vital thatwe build an integrated transport system that can support a host of wider economic and social policy objectives. I don't think you mentioned at all plans for how rail will be integrated with bus services to ensure that improvements will result in benefits for passengers across Wales, so can you give some views on this?
Finally, Cabinet Secretary, can you outline how the delivery of these proposals, or your ambitions, will be supported by the two new bodies that have been created to help drive forward the creation of new transport infrastructurein Wales? I don't think you mentioned the national infrastructure commission for Wales in your statement, which I'm surprised about, and if that's the case, perhaps you could just explain some rationale behind that. And with regard to Transport for Wales, I think at one point that you mentioned that Mark Barry will be working with your department and Transport for Wales, so I'm just keen to understand the relationships between Transport for Wales and your department and how they work together.And finally, does the national infrastructure commission for Wales have the resources and support that are required to deliver your ambition?

Ken Skates AC: Can I thank the Member for his questions and for welcoming the statement today? I'll deal with the last of the points that you made first, specifically the role that the national infrastructure commission will have. Clearly, the work thatI've announced today in this statement is designed to provide, at the earliest stage, compelling reasons for investment to be forthcoming from the Department for Transport. Longer term, the national infrastructure commission and the experts who will sit on that commission will have a role in influencing, informing and scrutinising any proposals from Welsh Government and Transport for Wales.
In terms of Transport for Wales and therole that Mark Barry has in informing the work that Transport for Wales is doing, and where the Department for Transport is concerned, Professor Barry brings expertise that currently complements what Transport for Wales has to offer. It's my view that Professor Barry is able to informTransport for Wales in an objective way and inform the UK Government's decisions in an objective way by offering us expert views, expert analysis and an evidence-based approach to the projects that should be prioritised in the early stages. I think it's fair to say that there is good complementarity between what I've announced today and the economic action plan. Indeed, if you look at the programme for government, we have a united and connected Wales at the very heart of our desire to drive up prosperity. Equally, the Department for Transport's investment strategy highlights the need to build a stronger, more balanced economy by enhancing productivity and responding to local growth priorities. Both that strategy and 'Prosperity for All' have better connectivity right at the heart of their objectives.
I do believe that the Member is absolutely right in talking about the need to enhance integration of public transport services, particularly in rural areas. Although this statement today does not concern, necessarily, buses, the Member is right to state that the success of trains in the future in serving passenger needs will be dependent on better integration with bus services. It's also important to point out that the success in recent times of the TrawsCymrunetwork should not be underestimated. It's a long-distance network, often connecting communities not served by rail services. It, along with reform of local bus services that will come through legislation and, hopefully, through Welsh Government and local authorities working with the sector, will deliver better integration, not just in terms of timetables, not just in terms of physical infrastructure and hubs, but also in terms of ticketing. That work is being taken forward in parallel with the work that Professor Barry is undertaking in identifying the early projects that require investment.
Regarding mid Wales, it sits within both. Mid Wales is crucially important in connecting the whole of Wales, in ensuring that we deliver at the heart of 'Prosperity for All' a truly united and connected Wales. So, it will be essential that the Cambrian line is considered in all of the work that's undertaken and that we go on working with partners across the border to develop cross-border transport links, both in terms of rail and bus services. It's my expectation that the early work that will be completed by Professor Barry will be with me by July. I've already stated that it's my intention to go out to consultation in the second half of this year, and so I would hope to have his early findings on my desk in the coming two to three months.
I think access to airports is absolutely critical. The Member is right. Liverpool airport—connectivity to it from north Wales will be enhanced through investment in the Halton curve, but there will also be investment through the new franchise in service provision. We've signed the memorandum of understanding with Transport for the North, the aim of which is to ensure that consideration given to transport proposals on the English side of the border respects and reflects passenger needs and individuals' needs in Wales. So, in the future, I would expect better connectivity between north Wales and Manchester Airport to be a key consideration for Transport for the North. Indeed, it's fair to say, given the critical role of Chester station as a major hub serving north Wales, its role in providing transport provision for people living in north Wales will be even more important. So, it's absolutely vital that, in my view, the Department for Transportinvests in service provision at Chester station. It requires considerable work, and I think it deserves the investment that Cheshire West and Chester have been calling for for many years.

Adam Price AC: What Wales needs, of course, is a national railway. My fear is—and it's really underlined by the fact that we are going to get one business case for north Wales and a separate one for south Wales and then something fuzzy in the middle—thatthe Welsh Government really is a prisoner of the old map and the old thinking, whereby our infrastructure wasn't actually about moving our people around our communities, it was mostly about moving goods west to east, and, in the coalfield, it was about moving coal south to the ports. We have to reverse that thinking. We have to have a national, integrated vision.And while there were many things in the Cabinet Secretary's long list of overarching needs, which is difficult to disagree with, it's the omission that was glaring. We're a country that is defined by our gaps, the things that aren't there, more than the things that are there. The one thing you didn't talk about—with the exception of connecting cities—is connecting Wales, a country whose railway map is a reverse 'E'. It's a trident that runs across our country, and nothing at the western end, and yet there are ambitious proposals to create a national western link. Indeed, the Government has commissioned itself a feasibility study to reopen the link between Carmarthen and Aberystwyth—nothing about that, at all, in this proposal, in this statement. Shouldn't there be, as part of Mark Barry's work, a commitment to looking at a western seaboard railway link, so that we can actually move from the south to the north of our country by rail without having to go into another country. It's a pretty modest demand, Cabinet Secretary.
Now, you said that we shouldn't be standing in the margins complaining, and I heartily agree with that. The Cabinet Secretary for Finance recently announced that the Welsh Government will soon be able to issue bonds in order to fund infrastructure projects in the future. As part of this overarching analysis, will Professor Barry be looking at the possibility of using bonds, as Transport for London has done very successfully, as Professor Gerry Holtham has suggested, in terms of the cancelled electrification link? Rather than just complaining about those projects that Westminster's refusing to fund, shouldn't we be looking creatively at our own financial means of meeting our own requirements?
Finally, it was, of course, Mark Barry's big idea for reducing journey times between Cardiff and Swansea, shared as part of his vision for the Swansea bay and western Valleys metro, to take the Neath station off the Great Western main line, running that connection, then, instead, along a new direct line from Port Talbot to Swansea. Can I therefore invite you to say clearly whether or not you are ruling out any proposal that would remove Neath from the Great Western main line? Your Counsel General said that he would not support any proposal that included this. He is ruling this idea out. Can you say whether you are ruling this out at this stage, given that it was actually Professor Barry's idea?

Ken Skates AC: With regard to that specific point that the Member spoke about last, I can confirm that our position is still that we are not looking at any reductions in services into Wales, or any reductions in station accessibility, and we'll be working with the UK Government and with Network Rail to that end. That includes Neath station.
Now, if we look at how you can improve journey times whilst maintaining stations such as Neath on the main line, you can first of all look at station improvements, you can look at signalling improvements, points improvements—it's a fact of the matter that the trains that are currently operating on the Great Western line have the potential to travel up to 140 mph, but because of poor signalling, poor points and so forth—those factors that I've already identified—and too many level crossings, there's only one point on the entire line that they're able to travel at 125 mph. So, before you even look at the major components of rail infrastructure, you should first look at signalling, points and crossings, in order to improve the speed at which trains can travel. That would reduce journey times between London and Cardiff, and beyond into west Wales, before any consideration would need to be given to the actual track or stations. So, I can say we're not looking at any reductions. We don't just wish to protect stations and services and the provision of services to stations in Wales; we wish to see them enhanced, and that includes to Neath station.
In terms of the promotion of a national railway, I'm not sure whether the Member was referring to a national railway in terms of track and train—a vertically integrated national railway. I think that's what the Member is referring to. The fact is that, at the moment, though, as the Member pointed out, we do not have devolution of responsibility or funding for rail infrastructure. I'd be very concerned about taking forward the idea of using our own money, in whatever way, shape or form it might be, to supplement for historic underfunding of rail infrastructure in Wales. To me, that would be akinto raising a white flag to a Government that has underinvested in our railway infrastructure to the tune of it being only 1 per cent of investment across the UK in the latest control period, in spite of the fact we've got 10 to 11 per cent of track miles. Now, I know that the Member's suggestion for a national railway might look attractive, but is he also proposing, as part of a national railway, given that he's spoken about the need to have connectivity within Wales that does not necessarily have to include connectivity outside of Wales—?Is the Member suggesting that we therefore have new tracks constructed in parallel to the existing network, for example between north and south Wales, in Powys, that actually run in parallel to existing infrastructure? Because I think, actually, for the most part, people are content with the infrastructure that is in place. What people are not content with is the quality of the infrastructure, which is holding back not just the availability of frequent services but also holding back the speed at which trains travel. I think most people in Wales would wish to see investment channelled into the existing infrastructure to ensure that trains travel more frequently and travel faster, whilst at the same time making sure that franchise agreements are in place that drive up the quality of services that run on the track.
The Member suggested that the statement doesn't speak of connecting Wales internally. Well, the whole point of our metro developments in the north, in the south-east and in the south-west is to better connect communities within Wales. These are hugely ambitious. Indeed, the committee that the Member sits on called them heroically ambitious proposals that we're taking forward, and later this month we'll be considering, at Cabinet, the preferred bidder for the next franchise, and the development partner for the metro, which is, as I say, designed to ensure that our communities are better connected within Wales. Also, in terms of better connecting communities, the ambitious proposals that will be consulted on in the coming months, concerning reform of local bus services, will again demonstrate our determination to ensure that, whether it might be rail or buses, active travel or a combination of all, we are investing more heavily than before, and have more ambition than ever before in terms of connecting together our communities in Wales.

David J Rowlands AC: Can I thank the Cabinet Minister for his statement which, in the wake of the Secretary of State for Transport's announcements, updates us on the Welsh Government's ambitions for the Great Western and north Wales main lines? You say, Cabinet Minister, that this commitment is welcomed, but it appears that this announcement simply deals with the development of business cases for rail improvements in Wales. In light of the decision on the Swansea line electrification, and comments made recently on the Swansea bay developments, one has to ask: do these announcements really amount to firm commitments?
It is all too apparent that the UK Government is committed to some mouthwatering improvements to the rail network in England. You mentioned yourself the £15 billion Crossrail investment and the £3 billion trans-Pennine scheme.You also, of course, referred to the vastly expensivehigh speed 2 project, which is likely to swallow up £55 billion, at least, and, curiously, you point out its possible negative impact on the Welsh economy, which is in sharp contrast to the Welsh Government's view when UKIP debated it in this Chamber, where you maintained, against UKIP analysis, that it would be a great boost to the Welsh economy.
UKIP agrees with the ambitions stated in the overarching needs you lay out,and we will continue to support the Government in its attempts to secure the infrastructure improvements outlined in those needs. But in light of these announcements, is there not a need to have a full debate on Westminster spending on the rail infrastructure in Wales, where cross-party support for Welsh Government demands could be aired, with the effect of strengtheningyour hand in any negotiations with the UK Government?

Ken Skates AC: Can I thank David Rowlands for his questions, and say that I'd very much welcome a cross-party debate on the level of investment from the UK Government in rail infrastructure in recent times? I think that would assist in strengthening our hand at the negotiating table, and ensure that Network Rail and the UK Government recognise that there is demand across all parties in the National Assembly for Wales for fairer funding when it concerns rail transport in Wales.
In terms of HS2, yes, there is the potential for HS2 to have an adverse impact on the economy of south Wales, and that's why we're arguing that we need to see investment in the south Wales main line come as soon as possible, to ensure that south Wales, and, indeed, this applies to the south-west of England, remain competitive and go on being competitive on a UK and global stage. In north Walesand, potentially, in mid Wales, HS2offers the opportunity for those regional economies to be significantly strengthened and boosted, but it will require the right outcome, specifically with regard to the Crewe hub, ensuring that there's the right outcome, the right infrastructure in placeto the north of Crewe station.
In terms of HS2 as a whole, what I would say is that—and this goes for the regions within Wales as well—what we should not do is argue that we should hold back the prosperity of one region in order to maintain current levels of prosperity for another, whereas actually what we should bearguing for is enhancements across all regions. That's why, again, I clearly state that HS2, whilst itcould have an adverse impact onsouth Wales, if we get the right level of investment into south Wales and the main line into and from south Wales,then the adverse impact could be mitigated. So, my consultation response to the Secretary of State concerning the Great Western Railway franchise clearly stated the need to ensure that there were mitigating proposals that could be adopted that would then guarantee current levels of prosperity for south Wales and ensurethat the south Wales economy can prosper in the future.
In terms of the business cases, the commitment for taking forward business cases rests with the UK Government, but we need to ensure that there are irresistible cases put forward to UK Government. I outlined in my statement how there is significant spend taking place elsewhere in the UK. What I don't want to see happen is for us to just rely on business cases designed elsewhere. What I wish to see happen is for us to influence those cases at the earliest opportunity, and that's why we have experts and that's why we have Transport for Wales working on those cases right now.

Jenny Rathbone AC: Thank you, Cabinet Secretary, for setting out the threats and the opportunities that face Wales, and also for appointing Mark Barry, who is a fantastic enthusiast of public transport and therefore, I think, will be a great bonus to setting out our stall. But, clearly, we don't hold all the levers.One of the big concerns of some of my constituents is the rise and rise of rail fares, which far outweighsthe rise in wages.For those who need to travel outside Wales for work, it is quite punitive, what is being charged. If it was that the massive price increases were then being reflected in increased investment in carriages and extra Wi-Fi and more trains, that would, I'm sure, be accepted, but the fact is that that's not what is happening.
We do have an enormous challenge in that our UK Government is so south-east England-focused. If they'd started HS2 in Manchester, rather than in the south-east, you might be convinced that they were beginning to look at a transport system that covered the whole of the UK, but, clearly, that's not about to happen.
One of the big issues for my constituents is the necessary upgrading of Cardiff Central station, which is quickly going to have insufficient capacity to manage the increased number of trains that people want us to be delivering. That is something that we can't do unless the UK Government gives GWR or Network Rail money to do something about it. So, I fear it's a good illustration of how dependent we are on the largesse of the UK Government.
I do recall that when Chris Grayling cancelled the Swansea electrification, he immediately started talking about all the things that he might do with the money to go to south-west England, which is just disgraceful.So, we absolutely have to have a fit-for-purpose rail and bus link, and I look forward to the day in which we have these joined up together.

Ken Skates AC: I thank Jenny Rathbone for her questions. It's always a pleasure to answer Jenny Rathbone because she has such a keen passion for public transport, in particular the integration of rail and bus services, and of course active travel services. The Member is absolutely right that Professor Barry is a rail heavyweight. We're very pleased that he has agreed to undertake this work, and I'm sure that the work will be carried out apace. I also hope that work on Cardiff Central will now take place at pace. The Secretary of State announced that Cardiff Central improvements would be a priority after the cancellation of the electrification programme beyond Cardiff, and I hope to see that work take place without delay.
In terms of fares, it's a tragic fact that, in parts of Wales, 20 per cent of young people don't even turn up to their job interviews when trying to find work, because they cannot afford public transport to get there. This is in part as a consequence of relatively high fares on rail. It's also in part as a consequence of infrequent and sometimes excessively expensive bus transport as well. The answer, of course, in Wales, as far as the Wales and borders franchise is concerned, is with the new franchise agreement. We set out in our high-level objectives the need for bidders to ensure that their profits would be minimised and that any excess would be reinvested into service provision. It's also absolutely right that we look at maintaining, wherever and whenever possible, the lowest possible fares on rail services, and that's what I hope to be talking about a little more once the Cabinet has considered the outcome of the procurement process.
But equally it's absolutely vital moving forward that a greater degree of integration of rail and bus ticketing takes place. I've seen in parts of the UK—in the Merseyside area in particular—excellent examples of how bus and rail integrated ticketing has acted as an enabler, particularly for young people facing unemployment, in ensuring that they can get into work and stay in work. That's what I wish to see replicated through the new franchise and through additional services in the future being managed by Transport for Wales. That's what I wish to see happen here.

Thank you. Can I just gently remind the next set of speakers that you are the second and possibly the third speaker for your party, and therefore it should be a brief statement and a question, and then we'll get you all in? Suzy Davies.

Suzy Davies AC: Thank you, Dirprwy Lywydd. An interesting statement there of 1,200 words, Cabinet Secretary, although it took you until page 3 of your statement to say that you cannot stand in the margins complaining when, actually, you did spend over half your statement, over four minutes of it, complaining about exactly that. I must admit I don't feel hugely better informed about what your plans are, but I am grateful to you for the information regarding the broader objectives for my region, especially looking at alternatives for those heavily polluting parts of the M4 at the same time as expanding, I think it was, the city region's transport—you know that some of us have been talking about that here for some time. You'll also be aware that my constituents in Neath are particularly excited about the offer made by Professor Barry in his original schematic, which I've been reassured is just a starting point.
Briefly, I just wanted to ask you about the omission from your statement of a Swansea parkway. I did a very quick and dirty survey in the area that could benefit from a Swansea parkway, and whereas 89 per cent of respondents thought that would help the city deal, less than 20 per cent of them said that they were happy with the current situation, and more than half of them said they would support the idea of a parkway. When you're continuing to share your ambitions with the Secretary of State, will you be offering in-principle support for a parkway?

Ken Skates AC: Yes. We've spoken about this already, and I think that merits a good degree of consideration. I think it's also important just to point out that during the first few minutes of my statement I wasn't complaining, I was simply stating a fact, and the fact is that we have not had the level of investment that we should have expected in the current control period. That said, Swansea parkway, as with some other major proposals, I think should be taken forward at pace.

John Griffiths AC: Cabinet Secretary, onemissing link, which has been the subject of a great deal of frustration for quite some time in my area, a missing link in terms of joining up south-east Wales is the Newport to Ebbw Vale passenger rail link. It's long been eagerly awaited and I wonder if you can, in responding to questions on this statementtoday, provide any further information on when we can expect that link to be established and its continuing importance, I hope, to Welsh Government reflectingthe views of local people.
Also, services to Bristol, Cabinet Secretary, which I know you are aware of, leave much to be desired in terms of overcrowded trains and reliability, problems with cancellation, the general quality of the rolling stock, and indeed the time that journeys take. So, on a whole range of factors as to what makes train travel desirable or otherwise, that service from Newport, Cardiffand other areas to Bristol is problematic, and particularly problematic for commuters. So, given the need to join up around border services between Arriva Trains Wales and the Great Western operation, Cabinet Secretary, I wonder what you can say in terms of comfort to those long-suffering commuters and others that those problems will be addressed, hopefully in the near future, so that they can have a much better experience and we can get more people out of their cars and onto public transport.

Ken Skates AC: Can I thank John Griffiths for his questions? Of course, I'll have more to say with regard to the Ebbw link and the potential to stop at Newport when we announce the preferred franchise operator and development partner and when we take forward the metro planning.
With regard to Bristol and connectivity on a cross-border basis, it's my view that we should be encouraging UK Government to work with us in terms of remapping franchise agreements to ensure that a similar agreement is in place on those franchises that are operating and managed by UK Government as there is with the Wales and borders franchise, whereby we are able to influence and we have a role in deliberations at a UK Government level, just as UK Government Ministerswill retain an interest in some services as part of the Wales and borders franchise.
I've set out in my letters to the Secretary of State a proposal for remapping franchise arrangementsthat would, I believe, (a) meet the needs of passengers in Wales far more than the current arrangements, but also enable the Welsh Government to have a role, the role that it needs to ensure that services are designed and delivered in a way that takes full account of Wales's interest, and which I also think would result in real competition and genuine choice for passengers across the border as well. We wish to see more services between south Wales and the south of England, in particular Bristol Temple Meads, and I think a remapping programme of the franchise would assist in this.

Finally, Mark Isherwood.

Mark Isherwood AC: Thank you, Dirprwy Lywydd. You referred to the 1 per cent expenditure. The Office of Rail and Road annual report on UK rail industry financial information, published last year, found that Wales actually receives 9.6 per cent of net UK Government funding for franchised train operations and NetworkRail, and 6.4 per cent of total net UK Government funding for Network Rail routes, as submitted in evidence to the Economy, Infrastructureand Skills Committee after we highlighted similar concerns.
I endorse your statement fully that if the UK Government makes the right choices on the Crewe hub, et cetera, then HS2 will have a significant economicbenefit for north Wales. But, my question—I only have one—given your reference in your statement to working with Growth Track 360, which of course I also fully support, you've made no reference to the north Wales growth board, established to finalise the growth deal and manage its delivery once it's agreed with the two Governments. So, what work, in the context of transport connectivity with the rail network, are you undertaking directly with the growth board?

Ken Skates AC: I've met with the board. I've met at a political level and at an official level with leaders of local authorities and with chief executives.At an official level within Government, we're also engaged on a regular basis insofar as the projects are concerned within the growth deal bid, and it's my view that the ask for the establishment of a transport authority in the north would be very welcome. I look forward to scrutinising precisely what it is that the bid proposes, and with a view to supporting that bid.
What I wish to see happen with the growth deal in north Wales is that in 20 years' time, we can look back and identify that deal as having been transformational for the region. And in order to be truly transformational, I think it must focus on key components that drive productivity and economic growth—investment in skills, investment in transport and infrastructure, and in ensuring that there's the right regional vehicle in place long term to serve economic development in north Wales. On all three of those key components, we're making good progress, but I wish the deal and I wish people proposing all of the projects within the deal to have heroic ambition in this regard.

Thank you very much, Cabinet Secretary.

6. Statement by the Cabinet Secretary for Energy, Planning and Rural Affairs: The Future of Land Management

Item 6 is a statement by the Cabinet Secretary for Energy, Planning and Rural Affairs on the future of land management, and I call on the Cabinet Secretary, Lesley Griffiths.

Lesley Griffiths AC: Thank you, Deputy Presiding Officer.For decades, the management of our land has been shaped by the European Union. This has greatly influenced the structure and performance of our agricultural sector. Brexit brings significant and swift changes. The combination of leaving the common agricultural policy and new trading arrangements mean simply maintaining the status quo is untenable.
This matters greatly to Wales. The vast majority of our land is owned and managed by farmers, foresters and environmental bodies. Farming is a vital part of our rural economy. It is the social anchor of communities and land managers are the custodians of the land that underpins our natural environment.
The case for devolution is stronger than ever. The composition of our farming sector is very different to the rest of the UK, particularly England. Our landscape is more varied, our rural communities are a much greater share of the population, and our agriculture is more integrated into the fabric of our culture, especially the Welsh language. We have a once-in-a-generation chance to redesign our policies in a manner consistent with Wales's unique integrated approach, delivering for our economy, society and natural environment.
I am grateful for the help and support of all stakeholders who have come together at my ministerial Brexit roundtable. Drawing on those discussions, I have composed five core principles for the future of our land and the people who manage it.
The first principle is we must keep land managers on the land. To produce maximum benefit, land must be actively managed by those who know it best. This is also what is best for our environment and communities. However, this does not mean land use and the people who manage it should not change over time.
My second principle is that food production remains vital for our nation. There are many good reasons for Government support, but the basic payment scheme is not the best tool for providing it. There is a significant role for Government to play in helping land managers become economically sustainable after the UK exits the European Union.
Reform is also a significant opportunity to dramatically increase the benefits the broader Welsh public can receive from our land. So, my third principle is future support will centre on the provision of public goods that deliver for all the people of Wales. The richness and diversity of the Welsh landscape means there is no paucity of public goods to procure, from clean air, to flood management, to better habitats.
Fourth, all land managers should have the opportunity to benefit from new schemes. We will not restrict our support to current recipients of CAP. However, land managers may need to do things differently in return for support. This is the only way we can ensure our land delivers greater benefits.
Finally, we need a prosperous and resilient agricultural sector in Wales, whatever the nature of Brexit. To make this a reality, we need to change the way we support farmers. We intend, therefore, to have two elements of support—one for economic activities and one for public goods production. There are clearly important links between the production of food and public goods, so the support must be complementary. Many land managers will be able to produce both, but support for food production must not undermine our natural environment.
Through my roundtable, I have launched a new phase of intensive stakeholder engagement to work collaboratively on the details of how best to deliver the five principles.These groups are providing valuable ideas that will help the Welsh Government bring forward proposals for reform. These proposals will be included in a consultation document to be published in early July.
The reputation of Welsh produce rests on high standards, so this document will also consider the implications of reform for our regulatory framework. We have the opportunity to design a more modern, streamlined and flexible framework. This is relevant for the quality of our water, our soils, our air and our animal health.In order to deliver this support, we will need the correct legislation in place. My officials and I continue to work with DEFRA and the other UK Governments to determine how best to legislate. I am considering both a Welsh agricultural Bill and including temporary provisions for transition in the UK's planned agriculture Bill.
Leaving the European Union brings significant changes, and we must have a well-planned and multi-year transition. I learned the importance of avoiding a cliff-edge removal of subsidies during my recent trip to New Zealand. I will continue to fight to protect a full and fair allocation of funding to support land management in Wales. However, the UK Government has so far failed to provide any detail or commitment beyond 2022. I was very pleased that Fergus Ewing, Cabinet Secretary for the Rural Economy and Connectivity in Scotland, joined me in writing to Michael Gove, Secretary of State for Environment, Food and Rural Affairs, to ask for further clarity on future funding. Despite this uncertainty, I want to set a clear timetable for Welsh farmers.
The basic payment scheme will continue as planned for 2018, and I can confirm today that I will also continue to operate the basic payment scheme for the 2019 scheme year. From 2020, powers will return from Europe. I then envisage a gradual and multi-year transition from existing to new schemes.By 2025, I want to have completed implementation, and I will set out further details in July and can guarantee that changes will be subject to explicit consultation.
The great challenge of Brexit is to ensure that its impact does not undermine the true value land management provides to Wales. The great opportunity is to put in place new Welsh policy to help it adjust to future market forces. I am confident our land managers can adapt, and it is this Government’s role to provide time and support.

Paul Davies AC: Can I thank the Cabinet Secretary for her statement this afternoon? I'm pleased that the Cabinet Secretary has brought forward this important statement, particularly in light of the agreement between the Welsh and UK Governmentsover the European Union (Withdrawal) Bill, which means that we're one step closer to a new future for British and Welsh agriculture.
Of course, we all agree to the five core principles that were set out in February, particularly around the idea of food production remaining vital. Indeed, farmers have continued to raise with me their concerns regarding the future of their subsidies if Britain decides to adopt an approach that prioritises environmental protections rather than food production. I'm pleased that today's statement recognises that Welsh farmers continue to be excellent custodians of our countryside and that it's crucial that the right balance is struck between environmental protections and food production.Whilst I accept that a consultation will be held later this year, can she give us a little more information from the outset about how the Welsh Government intends to strike that balance so that Welsh farmers can be assured of the direction of travel post Brexit?
Of course, a transition system must be in place for future funding arrangements, and the Welsh Government has been quick to point out that engagement has already taken place with stakeholders and other Governments on this point. In light of the representationsthat the Cabinet Secretary has already made on this issue, can she provide some more information about exactly what future funding arrangements the Welsh Government want to see in the future, given that the UK Government has committed funding until 2022 but in her statement today she has only confirmed that the basic payment scheme will continue to operate until 2020?

The Llywydd took the Chair.

Paul Davies AC: Of course, we know that the Welsh agricultural industry is closely integrated with the European market, and we all recognise that the imposition of tariffs between the UK and the EU would be hugely damaging to Welsh farmers. I know that that is the Welsh Government's position on the matter, but perhaps in her response the Cabinet Secretary could provide an update on her discussions with her UK counterparts and, indeed, her European counterparts on ways in which to protect the industry for the future.
Now, in March last year, the Climate Change, Environment and Rural Affairs Committee undertook an inquiry into the future of land management in Wales, and, as part of the consultation,the Farmers' Union of Walesmade it clear that Governments should proactively support UK food and farming through their own procurement policies. In the circumstances, perhaps the Cabinet Secretary can now tell us about the Welsh Government's procurement practices in relation to farming and explain what new action the Welsh Government has taken since the committee's inquiry to specifically address this point.
Whilst there are clearly many land management challenges for Wales post Brexit, there are also plenty of opportunities too. Developing a domestic Welsh agricultural policy can now offer the Welsh Government the opportunity to seriously look at the current regulatory landscape for farmers, and I'm pleased that today's statement confirms that the Welsh Government will now look at a new, flexible framework. This has long been championed by the industry. Indeed, NFU Cymru tell us that poor regulation is often cited as areason for a lack of farm business confidence, and that it adds significantly to farmers' workloads. Now the Welsh Government has the opportunity to overhaul this landscape and ensure that more voluntary approaches are adopted so that, where regulations are introduced, they are supported by informed and sound evidence.
We know that the Welsh Government has yet to firmly close the door on proposed nitrate vulnerable zones in Wales, and this is a clear example of where the Welsh Government can better support Welsh farmers. Given the burdens that poor and excessive regulation can have on Welsh farmers, perhaps the Cabinet Secretary could tell us about her initial thoughts on tackling the regulatory landscape to better support land management.
Today's statement suggests a move towards introducing legislation, and perhaps the Cabinet Secretary can tell us when she intends to make a more concrete decision on this, along with what initial feedback she has already receivedfrom the industry on this particular agenda.
I'd like to briefly reiterate to the Cabinet Secretary the importance of access to a stable and productive workforce for the farming sector, and I'll be grateful for any updates to the discussions she's had with the rest of the UK and the EU regarding Wales's labour needs.
Finally, Presiding Officer—and by no means least—I'd like to put on record the significance of the Welsh agricultural industry, not just to our economy, but to our culture too, and I'm pleased that the Cabinet Secretary has also reiterated the importance of farming to our rural communities and the Welsh language today. Therefore, in closing, can I thank the Cabinet Secretary for her statement? I look forward to scrutinising the Welsh Government's progress on its land management policies in the coming weeks and coming months. Thank you.

Lesley Griffiths AC: Thank you, Paul Davies, for those comments and questions.
I think you're absolutely right: it is about getting the right balance, and so that was why I started right at the beginning to have the stakeholder group, and I did pay tribute to them. I'm very grateful for their input and those meetings are always a really good discussion, and certainly the sub-groups that have broken out from that stakeholder group have been incredibly helpful in getting where we are now and will continue to be very important going forward.
You're right, we will be going out to consultation. I mentioned we'll be launching the consultation document at the beginning of July. I think it's very important to get it out there ahead of the Royal Welsh Show and the other summer shows where I, myself, my officials and front-line staff will be able to talk to many farmers and foresters and, obviously, people working for environmental organisations.
You asked what sort of things we were considering ahead of the consultation. So, in relation to public goods, I think it's very important that we continue to look at reducing ongoing carbon emissions and we're able to increase carbon sequestration. I want to continue to, obviously, manage water supply, improve water quality, improve air quality, look at our landscape and our heritage, and I'm also very keen to look at health and access and education opportunities.
Food production will come under economic resilience and, again, alongside that, we'll be looking at support for sustainable improvement, particularly around precision agriculture and support for diversification. I've seen some excellent examples of diversification: I was up in Pennal last Thursday where I saw probably one of the best hydroelectricity schemes I've seen on a farm, and what really struck me was that that was there. Okay, it needed somebody to come along and innovate and put in the scheme, but that water was there, and now we've got this fantastic hydro scheme. So, it's about supporting diversification also.
I think, in relation to future funding, you're right, we have had that assurance that the funding is there until 2022, and we've made it very clear thatthat funding will be available to the sector up until 2022. But, after that, we have no idea what funding we will be getting. So, you'll be aware of the quadrilateral meetings that I have—we've got one on Monday in Edinburgh—we keep inviting theChief Secretary to the Treasury to come along; unfortunately, she's not been able to do so yet. But it has to be a standing item because we need to know what's there from 2022. But that funding will be available. Although I've only stated what will happen up until 2020, that amount of funding will be available until 2022. But we need to look at how we then, obviously, support our farmers and land managers.
It is about making our agricultural sector as resilient as possible for what's going to come. One of the things we've been doing—we did it with the dairy sector last year—we had some European funding that we used to benchmark so that dairy farmers could see how resilient they were and where they needed to improve. I'd be very keen—I am very keen—to do it for sheep and beef as well, and I'm looking to see if I can access some funding to do that. So, those are the sort of things that we're doing to assist.
You mentioned 'The future of land management in Wales' report from the Climate Change, Environment and Rural Affairs Committee, and there were some very interesting recommendations in there, which my officials and I are currently considering. Again, there were some recommendations that don't actually fit specifically into land management policy, but I thought the report was certainly very good.
In relation to regulation, I mentioned that this is really our opportunity—it's a big opportunity—to look at the full range of available measures we have for a future regulatory regime, and that, obviously, includes regulation, it includes investments, and it also includes voluntary approaches. Again, we need to have a look at who they will apply to. They will apply to all land managers, obviously, but we need to look at that going forward. There are still existing regulations currently in force that must be complied to, and I think everybody recognises that.
In relation to legislation, I've always made it very clear we would have our own Wales agricultural policy, but I mentioned that I'm keeping all options open in relation to the UK agriculture Bill. Unfortunately, we haven't had a draft shared with us, which we had hoped to have had by this time, but it hasn't been shared. So, again, we will ask on Monday.
Workforce is incredibly important because I'm sure, like myself, you've been told that a lot of EU nationalswork in the sector and there's a huge amount of concern, not just from land managers and farmers, but also from processing plants. So, it's a conversation that I'm having and also other ministerial colleagues are having in relation to Brexit discussions. But it is a huge area of concern.
I absolutely agree with you, and I'm glad you picked up what I said around communities and the Welsh language and how important—. The Welsh language within agriculture—it's the most used by any sector, the agricultural sector. And another lesson I learned in New Zealand was, when they had that cliff edge and that huge change to their way of life in New Zealand back in 1984, they lost a lot of communities because farms became much bigger. So, therefore, the communities had huge upheaval, and I'm very keen that that doesn't happen here in Wales.

Simon Thomas AC: Thank you to the Cabinet Secretary for her statement. There were a number of questions about this statement raised in the Nefyn show yesterday. The statement doesn't contain all of the answers, but at least people can look forward to another summer of consultation on these particular details.
Now, as far as Plaid Cymru is concerned, you will be aware that we disagree fundamentally with the agreement that you have made with the Government in Westminster, and the fact that so many of the powers that will flow from the European Union will now have been put in the freezer, or whatever description you choose for that process. It is difficult to equate what you have in your statement about the fact that you say that the case for devolution is stronger than ever, that you say that devolution gives

Simon Thomas AC: 'significant control over our policies and actions'

Simon Thomas AC: when, to all intents and purposes, you have given up that control to decisions taken, first of all, by the Government in Westminster, and, secondly, which are led by the Westminster Government,and not through the process that we've been discussing here and that is set out in the climate change committee's report—of collaboration, as members of equal status, between the two Governments. So, may I ask you some questions about how exactly this is going to work in practice?
You have set out your five principles in this statement and in the statement that you made in March also. Have you discussed those five principles with George Eustice and Michael Gove? Have you been given assurances by them that you will be able to operate on the basis of these principles here in Wales, given that the legislative precedent includes either an agriculture Bill in Westminster or a specifically Welsh Bill here? As we now know, the Westminster Government has the upper hand in areas as varied as GMOs, organic farming, farm payments, public procurement—which is so important for the future of food in Wales—and also food labelling. What assurances have you been given by the Westminster Government that they will not insist on their approaches to these problems, rather than listening to the consultation on the bottom-up approach that you have described to us here today?
In talking of the funds that will emerge from Brexit, I note—and it's already been mentioned—that you have only given a pledge until the end of the 2019 financial year. Now, the Treasury has made it clear that the total will still be available until 2022. When the climate change and rural affairs committee visited London last week, we met face to face with Michael Gove and spent an hour with George Eustice, and of course we discussed with them the need to secure this funding. It was clear to me that they would maintain the funding up until 2022, but after that, it goes into the comprehensive spending review. So, the nature of it will change after that, but until then, Wales will continue to receive the same funds. So, why can't you pledge today that that will be allocated in full, at least until the next Assembly elections, rather than on a year-by-year basis, as you have set out this afternoon?
In discussing that funding, it is clear that you want to retain some sort of sense of pillar 1 and pillar 2: the difference between public good and economic payments. But, at the same time, you say in your statement that the current single farm payment isn't an effective way of providing that economic support. Now, the climate change and rural affairs committee report has made a recommendation—which you should respond to, at least, this afternoon—that there shouldn't be a pillar 1 and pillar 2 approach, but that the funding source should be merged until you measure the public good and the economic benefits, and working towards something of a higher value. You just mentioned a project in Pennal and other projects in Wales. So, why haven't you considered that recommendation? Why do you want to maintain this rather artificial distinction between pillar 1 and pillar 2 in this new approach to funding in Wales?
So, although we welcome the fact that you are discussing these issues publicly in Wales, and that there will be an opportunity now for farmers and the unions and everyone who is interested to participate in this conversation, Plaid Cymru remains of the view that we have seen powers lost over the past fortnight, and that some of the things that you are talking about in this statement will be almost impossible to deliver because it won't be the Westminster Government's aspiration to see them brought about. And it's not just Plaid Cymru that is saying that. I now see today that former MPs Gwynoro Jones and Elystan Morgan have joined with us in their criticism of the inter-governmental agreement reached. There are some warm words in today's statement, but I fear that it will be empty rhetoric at the end of the day.

Lesley Griffiths AC: Diolch, Simon Thomas. I absolutely accept your view around the EU withdrawal Bill. I don't agree with you, and obviously the comments of both the First Minister and theCabinet Secretary for Finance have been very well rehearsed. You ask whether I've discussed the five principles with Michael Gove and George Eustice—no, not explicitly. However, we do meet, as I say, monthly, six-weekly in quadrilaterals, and they're very well aware, and agree, that we will be bringing forward a Wales agricultural policy. I mentioned in my statement that I'm keeping options open around the UK agricultural Bill, but still, until we see even a draft Bill, I don't think we can say exactly what we will do in relation to legislation.
I hope you heard my answer to Paul Davies around the funding. You're quite right; the Treasury have said that funding is there until 2022. I committed to keep to the basic payment scheme till the end of 2019. However, I absolutely pledge that that funding—and the First Minister has also done this—will be allocated specifically to the agricultural sector and our land managers et cetera until 2022, and certainly—again, you will have heard me say this before—until the end of this Assembly term. But that will be part of the consultation also. And we have about 25,000 farm businesses in Wales, of which probably 10,000 don't access any basic payment scheme at all. So, we need to look at how we share that funding out, and that, as I say, will be part of the consultation.
I mentioned the report from your committee, and we're considering all the recommendations. It's not that we're not taking any specific—. And, obviously, I will be coming forward with the response. It's absolutely for our farmers to decide how they use their land, how they get the best out of their land. They're the ones who can tell me how they feel about that, but then it's up to Welsh Government to be able to facilitate that. Certainly, one of the things I'm hearing from them is that they want to diversify. I mentioned, again, about the hydro scheme, et cetera, and I want to be able to be in a position to help them. I think this really is a big opportunity to get our policy right, and I'm afraid I don't share the fears that you have around powers.

Neil Hamilton.

Neil Hamilton AC: Thank you, Llywydd.It's always a pleasure to be called by you.
I hope it'll bring joy to the heart of the Cabinet Secretary when I say I could have written this statement myself, because I agree with every single word of it. I think it's a practical, forward-looking and optimistic statement. Of course, I recognise that, at this early stage, she can't give a great deal of detail about how agricultural policy is going to be reformed in Wales, but I was very pleased to hear her say that it gives us an opportunity to reconsider the whole corpus of regulation that we've inherited from predecessor generations. That must be the right policy—to look at everything that is currently in place, as we have the opportunity to change it, if that's beneficial to farmers and, indeed, to the public at large. Hopefully, she'll agree with me that we should base our regulation in the future securely on a science base and that we shouldn't impose huge costs upon the agricultural industry for any marginal benefits to society generally. So, I think, in detail, that we'll be able to make many significant changes that will not imperil environmental interests, for example, on the one hand, by improving the economic circumstances of farmers.
I was very pleased to see also that she says the basic payment scheme is not the best tool for providing farm security. It's certainly true that the impact of the basic payment scheme has been to substantially increase the price of land, rather than to improve the incomes of farmers. Farm incomes, generally, are still very, very low, and we need to do as much as we can to make farmers'incomes more secure and, indeed, higher in future. It must be right to say that future support for agriculture will centre on the provision of public goods that deliver for all the people of Wales.
I personally think, from what I've read and what Michael Gove and George Eustice have been saying, that there isn't a great deal of disagreement between the Cabinet Secretary and the Welsh Government and what the UK Government wants to achieve. It's a great opportunity for us to have a British and, indeed, a Welsh agricultural policy that is more attuned to the peculiar circumstances of our own country. She is absolutely right to point out the almost unique combination of circumstances that we have to devise an agricultural policy for in Wales, with a high proportion of upland farms, for example, a greater dependence upon sheep farming,and so on and so forth. So, I do hope that she will be able to come back to us, at an early date, with a little more flesh on the bones of this agricultural policy, but in general terms I welcome the principles upon which it's going to be based.
One of the opportunities that we've had, even within the current scheme of regulation, is to show that we can have a different policy in Wales. I've quoted before the habitats directive and the fact that we can cut hedges in Wales in August, whereas they can't in England; they've got to wait until September. I believe that our policy is a better one than we have in England, and there may be other ways in which Wales can lead the rest of the United Kingdom by example in the way that our agricultural policy for the future is devised.
Marketing is going to be at the heart, I think, of future prosperity for farmers in Wales, and I wonder if she can give us any further information on what the Welsh Government will do to promote a brand for Wales's agricultural sector as a means of securing the food and drink industry's interests, as well as farmers' interests, post Brexit. It must be sensible for a developed western country like the United Kingdom to concentrate upon the production not just of raw materials but the high-value products that richer consumers around the world want to buy. There is nothing to be gained from a race to the bottom in terms of price competition. It's improvement of quality that's going to be the best way forward, in my view.
I was pleased to see her mention New Zealand, as well—a country that I know quite well. I remember very well talking to Labour Ministers in New Zealand in the 1980s, who introduced the overnight abolition of agricultural protection, subsidies and the whole regulatory regime. It's one of the paradoxes of the 1980s that it was the New Zealand Government, under the Labour Party, that was more Thatcherite than the Thatcher Government in the United Kingdom. And it's true that, during the transitional period, there were very severe difficulties, although the New Zealand Government did actually soften the blow by having funding for restructuring of farms, and also for social welfare payments and so on in the interim, but it's true there were massive changes in the industry. But land prices fell 60 per cent, and the use of fertiliser fell by 50 per cent, so there were significant improvements in biodiversity as a result of those rather dramatic reforms, and now agriculture is actually bigger, as a proportion of a larger economy today, than it was 30 years ago.
So, there are opportunities for us in deregulation and, indeed, I believe, by controlling and maybe even cutting subsidies, if we can ensure that farm incomes, which is the key factor here, can improve. There's no point in subsidising for no reason. What we want is a prosperous farming industry and prosperous farmers. If that can be done at a lesser cost to the taxpayer, that must be in everybody's interest.

Lesley Griffiths AC: Thank you, Neil Hamilton, for that contribution. Indeed, I think I told you when you came into this Chamber that I do try to be optimistic and look for opportunities, and I do think this is a huge opportunity for us now.
I am determined that the consultation will be meaningful, so I haven't got any fixed ideas. I mentioned that we've had a lot of sub-groups from the Brexit ministerial round-table, which has come forward with a trade paper, for instance, and their views are very important to me. One of the things that they told me, right from the start, was that the status quo is not an option, and that CAP does contain perverse rules, and that does discourage delivery of public goods. Whilst the basic payment scheme does provide important support—of course it does—for many of our farmers, it wouldn't help them withstand the changes that they recognise would come following the UK leaving the European Union.
You're absolutely right around regulation. It must be done when we've got evidence from science, and I very much welcome you saying that. I've made it very clear that environmental standards must not drop, and you will have heard me say, in previous answers, that one of the things I want to do is help farmers and land managers become much more resilient to withstand the difficulties that are going to come. I think even before Brexit, the case for change was strong, and I think after Brexit, reform is absolutely unavoidable, and I think that is recognised.
The current policywe've got I don't think prepares our farmers for change in the long term. The scale of income subsidies paid to sheep farmers in particular is insufficient to keep the majority of them afloat when combined with price drops. The price of lamb at the moment is very high. I was talking to a farmer last week who told me he was getting £30 more this year than he was last year, but, obviously, due to the value of the pound, and it's not a trend that will continue, and I don't want them to be lulled into a sense of false security.
You mentioned that you didn't think there was much to choose from between us and England. I think all four UK countries would say we wouldn't have wildly different agricultural policies, but I can assure you there won't be a British agricultural policy. Each country will have their own individual one.
You mentioned New Zealand, andit was very good to be talking to Labour Ministers again. Of course, there's a coalition Government that came in last November. Certainly, the farmers that I spoke to—I did some farm visits and spoke to the sector and to other aspects of the sector, and whilst they said that, of course, it was incredibly painful and the lesson that they would want me to take away was that you needed that multi-year transition rather than that cliff edge, it was interesting that, although there'd been incredible hardship and a lot of pain, which lasted for many, many years, they wouldn't go back. They wouldn't go back to the system that was there, and I think that was something that I certainly took away.

Jenny Rathbone AC: I was very pleased to hear you say that the support for food production must not undermine our natural environment, and I think that's absolutely crucial. Given that the numbers of species across Europe are crashing, it's very concerning to all of us that the common agricultural policyhas obviously not been successful in preventing the numbers of wildlife from being eliminated in lots of cases. So, I know it's something that, in this Chamber, we feel quite strongly about, and, clearly, we're going to need to ensure that farming takes place without actually causing environmental degradation. Indeed, we need to build up the numbers that have been lost.
I'd just like to ask, in the light of the new circumstances, what support there will be for horticulture, because most horticulture is produced on fewer than 8 hectares, which is therefore not eligible for CAP. Given that some of the Tory Taliban are wanting to get us out of the customs union, it's obviously going to make it more difficult for us to import fruit and vegetables if that were to occur. So, I'd be keen to understand a bit more about what we can do to grow the sort of vegetables that don't need to be produced on an industrial scale, like potatoes. Freshness, locality and seasonality are hugely important. A limp lettuce nobody's going to want to eat. I remember Gareth Wyn Jonesstruggling to source vegetables within 50 miles of the school in west Cardiff, where he was trying to develop a meal for children on that basis.
I know that the LEADERprogramme has produced a lot of really excellent horticultural schemes, which local businesses have been falling over themselves to buy local produce for their cafes, restaurants and pubs. We know that polytunnels can extend the growing season and the range of produce we can grow up in the Valleys. We need more fruit trees, please. Lots of fruit trees can be grown in the harshest of climates. Just think of the Bardsey apple and the damsons that were historically grown for their dye. So, I'd be very keen to hear a bit more about how you think we can produce that for the well-being of our nation, as well as enriching our local food cultures that were spoken about in the land management report.

Lesley Griffiths AC: Thank you, Jenny Rathbone, for those points. I think you're right about horticulture, and I mentioned in an earlier answer that there are 10,000 farms that don't have access to any funding under the basic payment scheme, and I'm sure some of them will be included in relation to horticulture. So, again, I go back:we've got that blank piece of paper now, and we can make sure that we have a look atif there is a way to obviously include them in the funding.
Reducing food miles is very important to me, and I think you're absolutely right about schools, for instance, trying to source food within a smaller radius. I've had discussions with Cabinet colleagues around the National Procurement Service improving opportunities for sourcing thatWelsh food and drink, and, again, I think that's a really big opportunity here. And we've got a food category forum that is committed to providing opportunities for all suppliers to compete for tenders, for instance. So, I want to see schools and other aspects of the public sector able to do that.
Food and drink is very important—I realise that I didn't answer Neil Hamilton's questions around food and drink. We've got a fantastic food and drink sector here in Wales. You'll be aware that our target was to increase turnover to £7 billion by 2020. At the end of 2016 we were already at £6.9 billion, so I'm looking at what target we need to do next. So, again, I need to make sure that the schemes that we do bring forward under our new agricultural policy enable us to do that.
I'd like to see other schemes. I know that, previously, under the rural development programme, for instance, we've supported community growing spaces in Wales, working with community farms, community gardens, community orchards, and you're right, we do need to plant more—we need to plant more trees, but we certainly need to plant more fruit trees also. So, I want to look at how we can support schemes like that. Also, community allotments are very, very important to the food and drink sector. Again, I go back to that blank piece of paper where we can start again and we can look at how we support everybody—you know, SMEs, micro food businesses. I'd like to be able to facilitate market engagement, which I don't think we've done enough of.

David Melding AC: Cabinet Secretary, can I say—[Inaudible.]—I do not believe that there needs to be a tension between productive agriculture and care for the environment. So, we can certainly combine these very important public goods and aspirations. There clearly are some areas where we could have a broader range of produce, and horticulture I think is a very interesting one.
There are some areas where we would want more radical diversification, but perhaps going back to our roots, and one area I would suggest is woodland and forestry, which would, I think, provide an alternative income stream for many farmers in combination with their food production. Now, you will know—I'm sorry to rehearse these figures again—but since 2010, Wales has managed to plant just 3,500 hectaresof woodland, and it should be planting something like 5,000 a yearto meet our target of 100,000 hectaresby 2030—that's of new woodland and forestry.
So, we are where we are, and we need to revisit this, I think, quite radically. But I think, postBrexit, it does offer a really good example of a win-win, and the economic return on forestry and woodland is really quite considerable once you're over that initial 12 to 15-year period when the trees are maturing. So, I think that's an area weshould certainly look at, and I would commend the committee report, 'Branching out', which I think is a very good source of information on this, and it does ask us to be a bit more ambitious in our woodland and forestry policy, and I hope to see that come to fruition.

Lesley Griffiths AC: Thank you, David Melding.I absolutely agree that it doesn't have to be either-or.It doesn't have to be public goods or food production—it can be both, and that's the message that I certainly make sure everyone is absolutely onside around.
I absolutely agree with you around planting trees and, obviously, this is now in the portfolio of Hannah Blythyn, the Minister for Environment, but you will remember that when I came to committee, I absolutely held my hands up and said that we were not planting enough trees. We should have been doing 5,000 hectares a year if we were going to reach our target of 2030, and I know that this is something that Hannah Blythyn is looking at—how we can get that strategy on target.
Certainly, farmers and land managersare telling me that this is an area where they want to help. I think there is a reluctance by some who feel that if they plant a forest on their farm, that that land is gone for a long time—it's a very long-term idea, so they're reluctant to do so. But I think, in general, farmers and land managers are very keen to look at what they can do, particularly in relation to diversification, which I mentioned before.
Certainly, the committee's report 'Branching out'—I think, again, there were some very good recommendations that came forward, and, again, myself and officials are looking at what we consider. I think there were a couple around using tree planting as a natural solution to reducing flood risk and trapping atmospheric carbon. We want to extend opportunities for community access to woodland. From a well-being point of view we want to be able to do that. And also, I think we need to find mechanisms to increase woodland planting, and I think that includes commercial plantation as well. So, these are all things that we can look at going forward.

Finally, Joyce Watson.

Joyce Watson AC: David has done exactly what I was going to do, so I'm not going to reiterate everything that he's said, but I do think that there has been a view in the past about crops and trees competing for space. So, what I would like to see is a joined-up approach between those two parts of agriculture, and looking at agroforestry, where the trees can be planted alongside the crops, and that in turn would boost production, and challenge that orthodoxy, which you reiterated here today.
You mentioned, quite rightly, the fact that, by putting trees on the land, you can also manage the floods that very often happen, and we've seen an awful lot of evidence of that. But it can also create a greater biodiversity and soil conservation. When we talk about nitrous vulnerability, if trees were planted alongside, you might not have the same level of run-off that is poisoning our rivers. So, it's about an imaginative approach, and the carbon capture and storage hasn't been mentioned yet, but it is significant.
I'm glad that you do recognise, Cabinet Secretary, the need to plant more trees. We on the committee, and others here, look forward to seeing the green shoots of that. And since David has said most of the things I was going to say, I will end there. Thank you.

Lesley Griffiths AC: Thank you very much, Joyce Watson. I do think, as I said in my answer to David Melding, that some farmers don't want to plant trees on their land because they are concerned about losing it when they may need it for crops. But I think they are now starting to think about it more from a diversification point of view, and I think it's important that we're able to help them and to facilitate that going forward.
I thought, as I say, the report was very good, and it does come up with many recommendations. I did mention about reducing ongoing carbon emissions and increasing carbon sequestration as one of the public goods that we could look at. I think that will help us as part of our response to climate change. There are other things within public goods that I think, again, planting more trees would help around. I mentioned access—again, people think that farmers don't want people on their land. Well, that's not my experience. Farmers are very proud to show what they do on their land to the public, but I think landscape is very important.
Another thing that's come forward from the Brexit round-table is that they want to increase that habitat resilience and really underpin biodiversity and our landscape—so, great opportunities here to be able to do that.

Thank you, Cabinet Secretary.

7. Statement by the Minister for Environment: Extended Producer Responsibility

The next item is the statement by the Minister for the Environment on extended producer responsibility, and I call on the Minister to make the statement. Hannah Blythyn.

Hannah Blythyn AC: Diolch, Llywydd. Wales is a world leader in recycling. We are best in the UK, second in Europe, and third in the world. This is a direct result of policies made in Wales. We have invested heavily in kerbside recycling infrastructure and have long-held statutory targets for local authorities, with fines if they're not met. I am proud of our record and the level of commitment to reducing, reusing and recycling right across the country that has got us where we are today.

Hannah Blythyn AC: But, there is still much more to do. We have seen a shift in culture in terms of people sorting their waste and recycling at home, but this behaviour is not reflected when people are out and about, even when recycling bins are available. I am clear that our on-the-go recycling levels need to improve. In recent months, we have seen a rise in the public consciousness and community action when it comes to the need to tackle single-use plastic waste, thanks in large part to the BBC’s Blue Planet programme. But long before that, back in January 2017, the Welsh Government commissioned the Eunomia report on extended producer responsibility—EPR for short.
The researchers were asked to evaluate a range of methods to increase waste prevention and recycling and reduce litter. The focus was on six types of food and drink packaging, including drinks bottles and cans and single-use coffee cups. The summary report, published today, provides information on a range of options including deposit-return schemes, taxes or charges on single-use cups and changes to current EPR regulations. Since this report was commissioned, there have been developments at a UK level, and in some areas it makes sense for us to work together with DEFRA and the other devolved administrations.
I am currently considering a UK-wide deposit-return scheme and will meet my counterparts from the UK and Scottish Governments about this issue next week. Any scheme must, of course, take account of the risks and benefits to existing provision and recycling levels and build on the work we have already done here in Wales. In addition, I am considering amendments to the producer responsibility obligations regulations so that producers and retailers pay a larger share of waste management costs. Messages from our recent stakeholder workshops will feed into this. We continue to work with HM Treasury on a UK single-use plastics tax. At the same time, we will continue to consider a tax, levy or charge on single-use beverage cups for Wales, as recommended in the Eunomia report. The mandatory use of reusable cups and a potential pilot is also something I am considering.
Developing approaches on a UK-wide basis can be less complicated for consumers and better for businesses, who have told us they prefer this approach, particularly as we prepare for Brexit. We want to take a comprehensive, well-thought-out, long-term approach that has a positive long-term impact. The Eunomia study has helped paint a picture of what is best for Wales. Building on this work, further feasibility studies will be commissioned to assess how a deposit-return scheme might impact on municipal recycling performance and to look at the composition and sources of litter in Wales.
The Volvo Ocean Race summit visits Cardiff in June and will focus the world’s attention on what we are doing to tackle plastic in Wales. Last month, I announced that Wales will become the first Refill nation in the world. I know there has been much interest in this area from Members and I am working with Refill to further develop their app and work with Welsh businesses, charities and major events to help make Wales single-use plastic bottle free, with refill points and stations across the country. This will include work with Dŵr Cymru to build the Welsh brand, and develop a behavioural change campaign to help people see the value of our water, and make tap water the top choice for hydration.
Today, I can announce that the Welsh Government has signed up to WRAP's UK plastics pact. This is a collaboration of Governments, businesses, local authorities, non-governmental organisations and consumers who are committed to playing their part in reducing the amount of plastic waste generated in the UK. WRAP Cymru, funded by the Welsh Government, is producing a plastics recycling route-map for Wales. This will recommend action to increase the use of recyclate in plastic manufactured in Wales. The £6.5 million circular economy capital investment fund for 2019-20 will contribute to this goal.
I also announced last month an additional £15 million of capital funding over three years for the collaborative change programme. This will further improve local authority recycling collection systems and infrastructure, including for plastics. In the coming weeks, I will meet organisers of major events in Wales to increase the recycling of plastic and reduce the use of single-use plastics.
But, I am clear we must practice what we preach on this, and I am committed to ensuring Welsh Government offices are single-use plastic free by the end of this Assembly term. We are already taking significant steps towards this. As a result of the 25p charge for the use of disposable cups, around 75 per cent of hot drinks sold in our canteens are sold in a reusable cup. We do not use plastic straws, stirrers or cutlery in our canteens. In addition, Welsh Government will continue to influence the broader public sector in Wales, for example through catering disposables procurement contracts across the Welsh Government estate, working with Value Wales.
Later this year, I will consult on regulations to implement Part 4 of the Environment (Wales) Act 2016 that will require businesses and public sector bodies to separate different types of waste, just like households in Wales have been doing for years. This will significantly contribute to recycling rates in Wales, and it is only right that the onus is on all of us to take action.
I make no apologies for our pride in our record on recycling and tackling waste in Wales. I want to take this opportunity to make clear my thanks to partners and public alike: without your hard work, commitment and enthusiasm we wouldn’t be where we are today.
Llywydd, I am keen to build on this success. We were the first in the UK to bring in a plastic carrier bag charge. We can lead the way once again and make Wales the first in the world when it comes to recycling. Diolch yn fawr.

David Melding AC: Can I say I welcome this report and the Welsh Government's commitment to a wider plastics strategy? We've been calling for this for some time. I think a UK approach to many of the policy levers to manage plastic waste and increase recycling is definitely the best way forward, although there are initiatives we can take as well, as was indicated in what the Minister said about the renewed ambition of the Government. And retailers and producers tend to favour approaches that are on a UK basis for, I think, reasons that we can understand.
If I can look at a deposit-return scheme first, and it's interesting that this is now widely favoured, I think. The public are ahead of us, as they are on many of these issues, and the report demonstrates that a 90 per cent plus recycling rate could be achieved in this area. Also—this was very important in the report—high-quality data would be created on recycling rates by the formality of such a scheme. But my direct question on this is: are you open to an industry-led scheme, though monitored, such as the system in Norway where reported recycling rates have been as high as 97 per cent? I do think it's important that industry is taken along with us and is part of the solution. I think the term 'extended producer responsibility' is appropriate, but, you know, they are partners too, and I think they can be very much part of the solution, as retailers can as well.
Can I just say on the drinking water initiative and the Refill initiative, I do think this is imaginative? It's remarkable that in our culture we've not had—. If you go to the United States, I remember when I was first a student there just being amazed by the water fountains everywhere—absolutely everywhere—and I think we only have one water fountain in the Assembly building, Llywydd. Sorry, I'm not here to question you. [Laughter.] Oh, there are two; I'm sorry. But this sort of scheme, or encouraging people to use reusable bottles and having points where they can go into places around town where they can be refilled, I think that's excellent and that's definitely part of the solution.
I do believe wider interventions are needed on plastic waste, and as the report points out, only a quarter of 1 per cent—this is amazingly low—of single-use plastic cups are recycled, and they are a significant source of litter. And I would say here that there is consumer responsibility for a lot of it—not all that litter would be because of consumers, but a lot of it would be. So, I think we need to remember that.
Seventy two million single-serve sachets are used in Wales each year and, Minister, I'm so old that you won't remember these times, but when I was brought up it was completely normal for condiments to come in bottles and pots, and then you suddenly entered this world of often unopenable plastic sachets where what's inside them suddenly squirts where perhaps you don't want it go. [Laughter.] It is a preposterous world where we are reduced to that indignity, and so bring back the ketchup bottles and the like of salt and pepper pots, that's what I say. [Interruption.] I heard Dai Lloyd was keen to back me in all this change to the past, as it were.
The Welsh Government has extensive powers through regulations and guidance, as the report says, to control and reduce packaging in restaurants and takeaways in Wales, and I do think that might be an area to look at. Again, I think there would be a lot ofpublic support, but again we would want to work with the outlets.I hope that you will have something to say on that fairly soon.
I was pleased to hear what you said about the Welsh Government practising what it preaches, of course, in terms of its consumption of plastics.A plastic-free July, of course, is nearly upon us. I'm pleased to say that 19 people have signed mystatement of opinion to widely recognise that, and I do hope the Welsh Government will be doing that too.
Can I finally say that the report makes interesting points on the quality of data and I think these need to be followed up? I particularly note that Wales's adjusted municipal solid waste recycling rate is 52.2 per cent, or 11.6 per cent below the published figure.I know that's because of the form of calculation—I'm not in any way suggesting anything underhand here—but I think that, as we drive towards zero waste, we do need data that is fully robust, transparent and capable of comparison with other nations. But, broadly, I do welcome what you said this afternoon.

Hannah Blythyn AC: I don't know if I can take the questions on the Assembly estate now. I welcome—

Well, having reflected on it, I think it's two. [Laughter.]

David Melding AC: Okay, well that's 100 per cent more than I thought we had.

Hannah Blythyn AC: Diolch, Llywydd.I welcome the Member's broad support for the statement today and the recommendations of the report. You touch on the wider litter issue too.That's whylookingat how we tackle on-the-go waste—.We're not only going to tackle litter but actually increase our recycling rate and tackle the use of single-use plastics, whether that be bottles or beverage containers. I think that's why it's really important that we look at these things as a whole and don't just focus on—although single-use plastic is the one that is prevalent and making headlines in the news—one area and inadvertently divert the issue to another. You make a very interesting point about the condiment cups and the way things have changed, and I think we have started almost to reach somewhat of a tipping point now in terms of the public's awareness of these things. I won't mention any outlets' names, but I've noticed that a few fast-food retailers are starting to use—so you have a paper sachet andyou put it in froma dispenser rather than the individual sachets.
I think you're absolutely right in terms of the approach of working with stakeholders, with business, because I think there is a responsibility on all of us and we have seen, actually, not only the public's perception of this shift, but also I think we're seeing it from businesses now. They know that it's being consumer-driven, and I think you've seen the range of announcements from various supermarkets and retailers saying that they're going to change their behaviour and practices. Absolutely we all have a part to play in this. We can legislate and take action as a Government, but there are community initiatives that are so important in terms of driving this agenda forward, and businesses should play their part as well because the whole point of extended producer responsibility is that producers and manufacturers aren't just responsible for things at the point of sale that they produce;they're responsible in terms of what happens at the end of life and reuse after that.
In terms of a deposit-return system, in terms of an industry-led scheme, in terms of the detail, that is something I hope to start to work out with my counterparts. Actually, at the moment, that is open, depending on the evidence—the call for evidence and what we get from that—and we'll take a decision on that and make the best decision in terms of having the optimum benefits for us in Wales.
On Refill water, somebody described it today as 'revolutionary', but it's something that you would see as quite obvious, really, that we can do and should be doing. Again, I think it's a relatively new phenomenon, perhaps in the last decade, that we see people walking around with bottles of water and coffee cups.Again, it's about seeing how we can embrace the public mood now in terms of how we tackle that and actually start to tackle the use of single-use plastics. So, there are different ways we can do it as well as looking at taxation and deposit-return schemes. Actually, the indirect impact, potentially, of a Refill scheme across the country is that people will use less single-use plastics as well. So, I look forward to being able to update Members on that in due course.

Simon Thomas AC: Can I say to David Melding that, if he comes to the Ship Inn in Aberporth,the first plastic-free community in Wales, he will find his condiments served to him in lovely little pots and not in those awful little sachets—

David Melding AC: I'd be pleased to join you.

Simon Thomas AC: It just shows that the public are ahead of us in many ways on this and they want to see some significant changes, and I know the Minister,before she made her statement today, has been to visit the weigh shop in Crickhowell, which is an excellent example—Natural Weigh—of how some businesses are also responding to this. So, this is not about Government telling people what to do; this is about the people going themselves and Government chasing after them to try and catch up with the things that we can do in Wales, and everything that the Minister set out I broadly agree with, though I have some questions, as you might expect, on how we might get there, particularly in the context of where the powers now lie.

Simon Thomas AC: I think, first of all, just to say, though, that the Eunomia report is quite radical in its way. It has lots of refreshing ideas there, it has some astonishing facts and figures. So, beverage containers, drink containers: 40 per cent of the litter on the ground are basically drinks containers. If we could raise our recycling rate, which varies between 65 and 70 per cent around various drinks containers—although I think those are only the ones that actually get into the stream, rather than everything—and if we get to an 80 or 90 per cent recycling rate of these containers, we will actually halve—that's halve—the requirement for primary materials. So, recycling isn't just about keeping the goods going, if you like, and helping the environment, but you're talking about less use of resources in the first place, less energy going into them, you're talking about better economy, you're talking about that zero-waste economy and the benefits to us more widely that we have all, I think, tried toembrace in the Assembly. So, in that regard, I very much welcome the report and some of the ideas within it.
My difficulty, as previously, Cabinet Secretary, is that waste packaging and product regulations is indeed one of the 24 areas, following leaving the EU from 29 March, that will be reserved, in effect, under the reserved-powers, devolution-not model, to the UK Government. We wait to see how this actually will pan out. Let's put it no stronger than that now. At the moment, we have a UK Government and a particular Secretary of State who has expressed an interest in some of these ideas in Michael Gove. I don't know how long he'll last there; I think he's certainly looking to go somewhere else and to do something else in the next year or so, but, while he's there, we have an opportunity. I agree with the general tenor of the report and what the Minister said, that some of this stuff is better done at a UK level because cross-border, working together, working with our partners, I have no problem with that whatsoever. The question is: do we have powers to pursue it if there's a change of environment Minister at UK level or a change of attitude at UK level?
So, the first question must be around a deposit-return scheme, now working with the UK Government on these ideas. Are you clear, Minister, that if the UK Government either drags its feet on this, or drags out a long consultation or gets caught up in Brexit or whatever it might be, that you can still go ahead with a deposit-return scheme in Wales? The report makes it clear you could do that, and it sets out three options for that: a voluntary, industry-led one has been mentioned; tax on all beverage containers, again very much industry led; or some kind of legislation that we could introduce here in Wales. So, can you give an indication of where you might think it may go?
Secondly, of course, we have to look at all kinds of extended producer responsibility plans. We hear from the UK Government sort of headline stuff: straws. We hear from the UK Government about stirrers and this kind of thing. Is there a package there that we can work in? Do you have a sense that there's a package of extended producer responsibility that you can work with? I don't think the UK Government's proposals are actually ambitious enough and I think we can go further here in Wales. One of the things suggested in the report is not only a 25p charge in Welsh Government for coffee cups, but one for consumers in Wales—to introduce a charge like that. Is this something that we could go ahead with whether the UK Government want to do it or not, because I think it's something that could be usefully done in the Welsh context and change people's behaviour, and help the UK Government, if it's so minded, to move along there? I would not like to see some of these good ideas in this report caught up in the wider considerations of where the next UK Government moves, because I think there are things here we can do now, or at least in the next six months or so, and move on to that.
And, of course, in that regard, can I talk about the £0.5 million in the budget agreement, which initially was for a feasibility study on deposit-return schemes? There are ideas in the report about how that money might be used, and I won't enter into a debate about how it might be used across the floor here, but just to say we accept, of course, that the days of a feasibility study as such are passed; we're now into some actions that can be taken and I very much welcome the opportunityto discuss with youand the Government how that might be achieved. One of the things that I still think that we have a real chance to do here as well is a plastics tax, or plastics levy of some sort. Again, this is something that's been taken up at a UK Government level, but, again, just to express my concern that we don't see that, in some ways, watered down. I think you can water down plastics; they certainly turn up in the bottles of water that we buy. There are traces of plastic in every bottle of water now, so it just shows how ridiculous this situation has become. But this plastics tax idea is something that we can own here. If the UK Government again is not keen on pursuing it, let's see that happen.
And, as a final point, we have heard previously from you and the Welsh Government about how you want to work with partners to change the way we use plastics. You talk about a potential for procurement in this regard. Also, Welsh Government funds an awful lot of bodies that undertake an awful lot of activities in Wales. Some of that involves an awful lot of plastic, whether it's a beer festival tent or something similar, or an event or whatever it may be. Can you consider how you use your funding going forward to change behaviour in these events and in these kinds of institutions as well so that the public themselves can see that you're leading the way?

Hannah Blythyn AC: Can I thank the Member for his numerous contributions? He makes a number of really important points. You actually started off by mentioning The Ship Inn in Aberporth. I managed to stay there when I went to the launch of the New Quayplastic-free community as well. And it was brilliant to go Natural Weigh last week to have a look at what they've learned from others elsewhere, and now they're getting people in Wales coming to them to see how they can learn. I managed to make the most of the visit and took my own container and bought some nice chocolates and also invested in some bamboo toothbrushes. [Inaudible.] I'm not sure whether that's approval or not.
In terms of the facts and figures in the report, one of the things that struck me is the 237 million coffee cups that are disposed of every year in Wales. Across the UK, it's 13 billion single-use plastic bottles, which is an astonishing number, and I think only 7.5 billion of those are actually recycled. Actually, the point I'm talking about is the headline stuff that we're getting, and, for want of a better phrase, they come with a package on packaging, and looking at it in the whole, which I think has always been our position. I said to my colleague David Melding that we don't want to focus on one area of concern, as I find that the unintended consequence is that we tackle that one issue and then find we've got a similar issue elsewhere.
One of the things we need to look at as part of the UK Government's call to evidence is that it does look at different types of—what is single-use plastic? What is the problematic nature? I would hope from that—we will see when that closes on 18 May—and feed into that about—. Actually, it isn't just about single-use plastic bottles or singling out a particular issue; it's also about looking at it in the whole, how we tackle it to actually have the best long-term difference and make that change that we want to make, not just for the environment, but, as you said, for our economy too.
I thought you'd definitely mention the money, the £500,000 and, clearly, there are some ideas outlined in the Eunomia report, but that is something I'm sure that we will discuss further outside of this debate today. Looking at a UK approach in terms of a DRS, and also on a single-use plastics tax, I've made clear previously, and hopefully, if we are still—. Plastic tax was one of the four options to potentially test that power. It's not the one that's going forward because we've opted to work with the UK Exchequer to try and have a UK-wide single-use plastic tax. At the moment, those discussions are ongoing and positive.
We've always said from the outset, should that not be a possibility, then we're keen to explore solutions on a Wales-wide basis as well. That's why in this statement today I also brought up the potential of looking at how we tackle all those single-use coffee cups and beverage containers as well.

Gareth Bennett AC: Thanks to the Minister for today's statement. I think we all accept here that there is a big problem of plastic entering the sea, which volunteers who clean up our beaches have been aware of for some time. And now it's become a major national talking point, partly because of the tv programme that you mentioned—the Blue Planettv series—which demonstrates that,even in today's multi-channel era, a tv programme can still have a major effect in raising public consciousness, although I also appreciate what you state—that the Welsh Government had already commissioned your report prior to the tv programme.
The question, as ever, is how best to tackle this problem of plastic, and it's good that there are some very specific ideas that we are discussing here today. Wales as a Refillnation, is a good objective, but, of course, we have to look at the practicalities. One practical suggestion that seems to be arising is thatwe move towards a greater provision of public drinking fountains. The proposal seems to me a little bit similar to another idea that we've sometimesdiscussed here of keeping open more public toilets, which we were discussing at some length during the public health Bill debates last year. The problem may come down largely to cost, because we used to have more public fountains. We used to havea lot more public toilets, but many have fallen into disuse due to the cost of providing them.We know that there is a large ongoing cost to councils of providing these kinds of facilities, so, with the provision of public fountains, would the Welsh Government be providing ongoing funding to councils to help with this kind of service?
A related issue is that fountains would need to be well maintained so that there is a public perception that the fountains are clean and hygienic, otherwise many people simply won't use them. Now, we could, alternatively, have businesses providing water dispensers in their premises. Again, this is kind of connected to the discussions about public toilets, because we have had schemes where pubs and cafes have been given financial assistance for signing up to have registered public toilets—in other words, for allowing people to come in and use the facility even if they aren't buying any food or drink. So, I wonder if this kind of scheme could also be extended to water dispensers and if that's the kind of scheme that may be under consideration as you go forward with your plans for the Refill nation.
You also mention other aspects, such as food packaging, which is another big issue, and I tend to agree with Simon Thomas: lots of people do talk about this, and why do supermarkets put so much packaging around stuff? People don't really want all of the packaging. It takes time to rip it all off and sometimes you end up cutting your hand open. I have similar problems with sachets as David Melding seems to have. Now, most towns have something of a waste issue around late-night fast-food outlets and the associated discarded containers. Well, if we used trading standards rules, we could enforce the use of biodegradable containers, which would be better, so I think the move to biodegradable packaging is a good idea.
But one thing I do wonder whether you would take up is wet wipes, because there is recent evidence that some 93 per cent of fatbergs blocking up the sewage system come from wet wipes being flushed down the toilet. A big problem is that many wet wipes are labelled as flushable. Well, they may flush down the toilet, but many do actually block the sewage pipes, so that is misleading the people who buy these products. So, I wonder if we could do something and use Trading Standards to alter the labelling of bogus so-called flushable wet wipes. Diolch yn fawr.

Hannah Blythyn AC: I thank the Member for his contributions. [Inaudible.] talking about the Refill nation proposals and the use of water fountains. I think you're right to raise that the issue of water fountains brings with it some complexity in terms of maintenance and upkeep and also issues around maintenance in terms of hygiene, as well. Although there are existing water fountains in a number of places, some of them are of an age when they had lead pipes, so, for that reason, it would be very problematic; you wouldn't want to bring them into use.
So, I think the idea of the Refill nation is to develop refill stations as much as we can, and that detail will come along in due course. But actually, to my mind, they're essentially more robust versions of what we see as a water fountain, which enables somebody to put their bottle on there and have it refilled. I've already spoken to representatives from local authorities on how we can work collectively both with partners at a local government level and with businesses to sign up to become part ofthe Wales Refill nation, and about what existing facilities we can use to create this network—can we use leisure centres, community centres and businesses? I've also written to my colleaguethe Cabinet Secretary for Economy and Transporton how we can actually make more of our transport network in terms of providing refill stations at major hubs in the first instance, as well.
Fast-food packaging—yes, it's, you know, looking at wider EPR regulations in terms of can we encourage a consumer shift in terms of acceptance for using more environmentally friendly materials. I know, in terms of polystyrene takeaway packages, from the reports, that, actually, the percentage of that in terms of overall litter is extremely low, but, actually, the density of how we find it in certain areas around certain takeaway establishments or shops, it does give an image of prevalence there, and the more, the more—you know, notwithstanding, we do need to look at how we tackle that, because I know, like anybody here, that litter is one of the biggest issues in terms of constituencies and people contacting AMs, MPs and councillors alike.
On wet wipes, I see that's been in the news today, actually. I think one of the things around that too is looking at, actually, better packaging and labelling in terms of flushability, and investing in the technology to actually get more environmentally friendly materials. I'm told Water UK has a saying—I don't know whether I'm allowed to say it in the Chamber, but I'm going to—that the sewer system is only designed for the three Ps, paper, poo and pee, not plastics. So, if there's one thing for Members to take home—. But Dŵr Cymru have a Let's Stop the Block campaign, so I think it does come back to what we do in our work on education and behavioural change, coupled with, actually, how we address packaging and labelling to make sure people are clear on what can and can't go down the toilet, and actually not just saying, 'You can't do it,' but the reasons behind it, the impact it has on the environment—actually, not only on the environment, but it has an economic consequence in terms of—. I know that Dŵr Cymru spend around £7 million per year flushing out sewers as a consequence.

Mick Antoniw AC: I've two questions. Just a couple of comments before that: I think it's worth looking at where we've come from, and when we started, for example, with the plastic bags, the impact that had—almost 400 million bags a year in Wales alone not being utilised, 8 billion in the UK, which followed on from the Welsh example. I remember raising this at the Committee of the Regions in Brussels, because a whole series of countries in Europe were also thinking of following the example, which has resulted in, potentially, around 80 billion a year not being used. So, we mustn't underestimate the importance of the leading role that we play within Wales and the impact that can have, not just within our country, but within other countries as well.
Can I also just put on record how important it is to congratulate those councils who have been making so much progress, in particular my own council of Rhondda Cynon Taf, who've achieved now a 64 per centrecycling target, really leading the way, way ahead of Government targets, and continuing to do so?
Can I then also just refer to some of the matters you raise with regard to water, bottles, straws and so on, the Backto the Futureitems, which create an awful lot of nostalgia in my own mind? My misspent youth was spent hanging round building sites collecting those bottles for the returns of money, which normally went to finance five Park Drivein the local shop, I'm ashamed to say. The paper straws—I mean, I don't remember what a plastic straw was. We had paper straws that doubled up as peashooters, went with the school milk—they came with the school milk, which, of course, Maggie Thatcher then abolished; that was another matter. It was an anathema, and still is an anathema to many of us, the idea of not drinking tap water, or'council pop', as we knew it, and it's still much better than the bottled stuff. I never understood that.
So, coming to the two questions, really, one is in terms of jobs. There's a tremendous opportunity here in terms of the transformation that is going to take place from the billions of straws that are used, the billions of paper cups and so on, and I wonder what, perhaps, we're doing to look at the business opportunities that exist around that.
The second one—you talked about culture change and, of course, education. Of course, in order to achieve that change, we have to educate the young people coming after us, the six, seven, eight, nine-year-olds. I can only then refer you perhaps to some of the fantastic educational information in terms of Tikithe Penguin, the kid's guide to the problems with plastic. I'm not going to put you totally on the spot now, but, apparently, if all the plastic humans make every year was weighed in elephants, how many elephants would you need? I don't expect an answer from you, but apparently it is 30 million, and, if you stood them in a line, they would go around the earth five times. That sort of educational information that's coming out I think is fantastic, because, to some extent, the actions we take now are for the generations that follow after us, and the work that's going in to actually change that whole culture within those generations, it just seems to me so important, and I think some of those imaginative ways of putting it over, of educating children now, are absolutely fantastic.

Hannah Blythyn AC: I thank the Member for his very illuminating and entertaining contribution then, taking us down memory lane as well. I'm not sure whether the reason you're committed to us bringing DRS in is so you can actually have a sideline of collecting all the bottles, or encouraging the nation's youth to that. I think you're absolutely right to say, 'Look at where we've come from.' So, I think our earliest recycling figures—in 1999, it was on 5.2 per cent, and we're now at 64 per cent in Wales. That has come, not from generating headlines, but from hard work and a sustained strategic approach to driving that change, and it's driving that cultural change too. We know that a lot of people now take it as the norm to separate and do their recycling and have separate waste collection.
In terms of your second question, in terms of the education, that's such a huge part of it, and one of the most enjoyable things I've found in this portfolio so far is doing the eco-schools work. The children, they are so well informed. I went to one school, and they all explained to me what a global citizen was, and global responsibility. They will tell you why they need to do this recycling and up it to the next level. I did ask them if they wanted to come and do my questions for me, perhaps, and stand in. But they're also—. What you see, it's not actually within the school; it's going outside of that, because they take what they've learnt and they use that pester power, and they'll tell their parents and their grandparents and their relatives, 'Why aren't you doing that? You need to do that'. And they can tell them, 'This is about me in the future; I want my environment to be in a good state for me when I'm your age as well'. So, I think, really, the education things and the fun things you talked about like that—. We just recently did a—it was a campaign on what will Wales look like in 2050, and we had some great contributions from primary schools across Wales coming back about what they thought Wales could look like, and what we needed to do to stop it getting that way in 2050 to make sure that we still had a brilliant country for us all to enjoy.
You're absolutely right. As well as this being an environmental issue, and having environmental reasoning and a positive impact from us making these changes, there are huge economic benefits for us as well. That's why it's important in terms of the role the circular economycan play. And at the same time as we're looking at the measures to tackle single-use plastic waste, we also as the Welsh Government are committed to looking at actually how we drive the inward investment to here, to make sure that we can actually do more of the reuse and recycle within Wales. So, at the same time, actually playing our part in terms of the recycling model and the circular economy, but also at the same time creating multiple jobs as a consequence of that.

Julie Morgan AC: I welcome the Minister's statement. It's a very wide-ranging statement, I think, and covers many aspects, so I think it's very welcome. You spoke, at the end of your speech, about the enthusiasm from the public and how they are leading us. In my constituency, I recently attended the launch of a plastic-free Rhiwbina initiative, started by a constituent and supported by our MP, Anna McMorrin. This took place in Snails, a cafe in Rhiwbina, which is going plastic-free. Incidentally, there was a stall there that was selling bamboo toothbrushes. The constituent plans to go round to businesses in the village offering a plastic audit and advice on how to reduce single-use plastic items such as straws, stirrers, and generally spread the plastic-free message. We're hoping to extend this across the whole of the constituency, looking for community champions to come forward. So, I thought the Minister would be interested to hear of that public initiativethat was taking place in Rhiwbina.
Then, to move on to the deposit-return scheme and the single-use plastics tax, I support those initiatives. And I understand the reasons why it is acceptable to do it on a UK-wide level, that there may be some advantages in that. But I do think it's very important that we doretain the flexibility for any changes that we want to make to the legislation. And Mick Antoniw mentioned the fact that we did lead on the plastic bags initiative and England followed some time afterwards and, I think, took some time to get to—they are now reaching a similar scheme to us. So, although we've had headline things coming forward from the Government in Westminster, from Michael Gove, I don't think we should be inhibited in any way in doing any initiatives that we would want to do ourselves.
The other issue I wanted to raise—it's been raised a few times—is about the water fountains. I think it's great to make Wales a Refill nation. I personally feel it would be very good if we could re-introduce some public drinking water fountains. I did notice, actually, going to London recently, that they do seem to be re-introducing new fountains in the parks there, which I thought was interesting. But I just wondered if money from plastic taxes could possibly be used to invest in water fountain infrastructure across Wales, because it must be one way of reducing the use of plastic bottles.
Then, finally, I'm very glad that you're going to look at the big events that are taking place, because we're just coming to all the summer events now. So, that's a key place to concentrate on recycling.

Hannah Blythyn AC: I thank the Member for her contribution there, and I think you're right to raise—. You raise some really interesting points that we'll take away in terms of water fountains and our approach to that. And also, actually, I think, what I said before, we'll retain that flexibility—look at and explore the potential of DRS or single-useplastic tax at a UK level, because we know that that's less complex and less complicated for both consumers and businesses, but I've made it clear from the outset that that is the direction of travel, but we'll always retain that option in terms of if we are in a position where we would need to do something ourselves Wales-wide.
The Member mentioned headlines, and, you know, there are announcements, but it's action that makes the real difference. I know that people roll their eyes when I keep saying about our record, but I think we should recognise too that we do come at this from a very good starting point to perhaps some of our colleagues elsewhere in the UK in terms of the point where we're at of our recycling. But, nonetheless, we know that we want to take action to tackle single-use plastics. We know that's in our environmental and economic interest as well.
I've actually seen on social media the plastic-free Rhiwbina initiative, and I just want to congratulate your constituent on the work that they're doing to get that off the ground. It sounds a great idea to sign up kind of community-widechampions to take that message forward. Because, what I saw when I visited Natural Weigh last week was that they'd got the idea from something else they'd seen online, and now they're offering advice to others in Wales to try and do the same thing as well. One of the things I hope to do during—. I think the community aspect in that action is a real driver, a real powerful force for change, and I think the message coming from the public, in some ways, is probably far more powerful than coming from politicians. One of the things I'm keen to do in the summer recess is to visita number of communities and places who are taking their own actions. So, perhaps, if the Member would like to write to me, we can see if we could factor in doing something in Rhiwbina as well.

Finally, Joyce Watson.

Joyce Watson AC: Diolch, Llywydd.I welcome the report, and I'm going to focus in on the £15 million capital funding that we're giving for over three years for the collaborative change programme to increase recycling. What I want to ask, Minister, is if we could use some initiative when we're investing in capital projects, whether it's a new-build school, whether it's an addition to an existing building, or whether it's refurbishing a town centre, because we put public money into all of these schemes, and, at the point of building, it is a real opportunity to ensure that we put some water fountains inside those buildings at that point so that we prevent plastic being used.
I've been looking on the BBC news, and it's been wonderful news for tourism this weekend. People have gone to beaches and places of natural beauty and left their rubbish behind. Barry focuses very prominently in that story, and it took schoolchildren to go behind and clean up.I thinkPorthcawl was another area, in Bridgend, and I live in Pembrokeshire and I have no doubt that it would be the same there. So, I think there's a whole programme here of education about people coming and enjoying our scenery. We want them to do that because they bring in huge amounts of income, but what we don't want is for them to leave their rubbish behind, which then costs the local authority significant sums of money. I think there's a piece of work that might be worth doing—and perhaps it is being done—when we look at the disposable cups. I think that they make up a significant amount of litter that is then having a cost implication to be picked up, which the taxpayer is actually forking out for.
Whilst we're on the subject of congratulating, I want to congratulate people in Harlech, who are looking towards moving to a plastic-free area, and the chip shop in Cardigan that gave me a cardboard container instead of a polystyrene one, and offered it as a choice. Everybody that was given that choice whilst I was there took that option.

Hannah Blythyn AC: I thank the Member for her questions and her observations as well. I think that's really interesting what you said, although anecdotally—that when people were given the option, they choose to have the environmentally friendly alternative. I'll join you in congratulating Harlech as well, and well done on that chip shop in Cardigan. Maybe I might regret saying I'm going to visit all of these communities as the list gets longer and longer, as it should do. It will certainly keep me very busy during the summer months.
I think that's right in terms of tackling the two together—litter and on-the-go recycling—because a lot of what is littered can be recycled on the go if we have the right infrastructure in place. But also I think those educational and behavioural campaigns are at the core. That will be one of the things that we will be exploring as part of this going forward, too, but also, actually, how it takes in a range of factors as well, not just in terms of your behavioural change, but recycling in the household as well. We know that litter is a blight on our communities as well, and I think it is actually how we strike the right balance in terms of what we would call a carrot-and-stick approach going forward.

Thank you, Minister.

8. Debate on Stage 4 of the Regulation of Registered Social Landlords (Wales) Bill

The next item is the Stage 4 debate on the Regulation of Registered Social Landlords (Wales) Bill. I call on the Minister for Housing and Regeneration to move the motion—Rebecca Evans.

Motion NDM6717Rebecca Evans
To propose that the National Assembly for Wales, in accordance with Standing Order 26.47:
Approves theRegulation of Registered Social Landlords (Wales) Bill.

Motion moved.

Rebecca Evans AC: Thank you, Llywydd. I'm very pleased to move the motion and to open the Stage 4 debate for the Regulation of Registered Social Landlords (Wales) Bill. I'd like to thank Assembly Members for the cross-party support for this Bill, and for the scrutiny that has taken place throughout the passage of the Bill. I'd like to thank the sub-committee of the External Affairs and Additional Legislation Committee, and the committee itself, and the Constitutional and Legislative Affairs Committee and the Finance Committee for their measured scrutiny of the Bill. Many stakeholders also provided an important contribution to the legislative process, and last, but certainly not least, I would like to place on record my thanks to the dedicated team of Welsh Government officials who have supported me so diligently to progress the Bill this far.
This Bill was introduced to respond to the Office for National Statistics's decision to reclassify RSLs as public non-financial corporations for statistical purposes in 2016. This technical accounting decision could have jeopardised the Welsh Government's target of building 20,000 much-needed new affordable homes this Assembly term. The reclassification means RSL borrowing, both historical and current, will be brought onto the public accounts, and scores against Welsh Government budgets. This would mean we would have to find an extra £1 billion of additional funding over this Assembly term to meet these costs, which would have a serious impact on our existing spending plans, or we would have to cut our affordable housing programme, therefore delivering significantly fewer homes.
Neither of these options was acceptable to the Welsh Government, which is committed to increasing the number of affordable homes available in Wales. This Bill makes changes that will allow the ONS to review its classification decision, and the current funding arrangements for RSLs in Wales can be maintained.Similar legislation has been passed in England. The Bill introduces provisions that amend central and local government controls identified by the ONS. These include provisions on the disposal of land by RSLs, certain constitutional and structural changes to RSLs and local authority influence over RSLs, and it clarifies when Welsh Ministers can use powers in respect of inquiries, enforcement and interventionin relation to RSLs.
The scrutiny process has been very thorough and the requirements for RSLs to consult with their tenants before making certain structural changes has been strengthened as a result. This is an important restatement of my commitment to tenants being at the heart of regulation and of theimportance of RSLs listening to their tenants. And tenants are at the heart of regulation. In December 2016, a new regulatoryframework was launched that took into account the changes thatthis Bill would introduce. Tenants, Assembly Members and other stakeholders can be assured that robust regulation, including intervention and enforcement powers, continues and will not be going away.
Finally, Llywydd, I'd like to say how pleased Carl Sargeant would be to see this Bill reach its final stage, having been the Minister who introduced the Bill to the Assembly. So, I am delighted to be able to help steer it through its final stages towards the Welsh statute book.

David Melding AC: Llywydd, it is in the public interest that this Bill receives support today. Given the decision of the ONS on the classification of RSLs, we must act. We've always accepted the principle of this Bill on this side of theAssembly, however we have sought to scrutinise it as a piece of significant, if necessary, deregulation. Consequently, it requires rigorous risk management. Our amendments at Stage 3 sought to strengthen the Bill in this regard and I regret that they did not receive the support of the Assembly.While I welcome the moves made by the Welsh Government, under our scrutiny, to improve tenant participation, they still fall far short of our proposals.
It is time to move on and accept that a 'good enough' Bill should be accepted. The Bill, as now presented, will secure the needed status of independence to reverse the ONS's previous classification decision. With this, the way is once more open for RSLs to continue their importantwork of building more social homes. By clarifying the status of RSLs, investors will be confident that governance arrangements do not permit public interference. On this basis, I urge Members to vote for the motion before the Assembly today.

Bethan Sayed AC: We are goingto support the passing of this Bill in the final stage today. We recognise that, due to ONS reclassification, this is a necessary piece of legislation and we note that the Bill, in its final form, resembles similar legislation, as has been mentioned by the Minister, undertaken in England and in Scotland respectively. Although in crafting this legislation the Welsh Government had to be wary of the restrictions placed upon it by reclassification requirements, I believe that a number of amendments, particularlysurrounding tenant consultations, could have been stronger, and that was reflected in David Melding's very noble efforts in that regard.
Technically, we are turning housing associations into private companies or something potentially resembling social enterprises. There is no guarantee that the fundamental natureof housing associations in Wales couldn't change over the next few years as a result of elements of this Bill, so I was disappointed that there wasn't a greater emphasis on post-legislative scrutiny as part of the final Bill, but I'm sure that Assembly Members on this side of the Chamber, and others I'm sure, will keep a close eye on developments and would like to track what happens emanating from the passing of this Bill. We would like to ensure thatno unintended consequences creep into this particular element of legislation. Particularly, in this last week, I've heard concerns raised by Shelter, for example, about 3 per cent salary increases by a certain social landlord every year while rents are actually going up for those struggling to survive, especially with regard to welfare reform. So, we wouldn't want to see too much of that happening if the rents are going to continue to rise, so that's something we'd have to keep a close eye on with changes to legislation.
But, as I've said, we are minded to support this particular piece of legislation, hoping, though, that the Minister will continue her conversations with people like myself on the opposition benches in relation to tenant rights, in relation to how we can engage more positively with them so that they can feel part of the process, and ownership of the processes, because they are integral to how we develop the sector.

I call on the Minister for Housing and Regeneration to reply to the debate. Rebecca Evans.

Rebecca Evans AC: Thank you very much. I think this final debate has shown just how robust the scrutiny process has been throughout the passage of the Bill so far and the level of interest there's been and the seriousness with which Members have taken their roles in terms of scrutinising this Bill. I very much welcome that. So, I would ask Members to support the motion and support the Bill, which, as David Melding and Bethan Sayed would both acknowledge, and have both said, will certainly allow RSLs to continue not only to borrow to invest in new homes and their existing stock, but also to do that important work and investment that they make in communities: providing vital training, employment, social and economic benefits and so on. And I give my commitment to continue with Members the discussion that we've started in terms of tenant participation. Diolch.

I thank the Minister. In accordance with Standing Order 26.5, a recorded vote must be taken on Stage 4 motions, so I move to the vote on this motion. Unless three Members wish for the bell to be rung, we will open the vote on the motion put forward in the name of Rebecca Evans on Stage 4 of the Regulation of Registered Social Landlords (Wales) Bill. Open the vote. Close the vote. In favour 49, no abstentions, none against. Therefore, the motion is agreed.

NDM6717 - Debate on Stage 4 of the Regulation of Registered Social Landlords (Wales) Bill: For: 49, Against: 0, Abstain: 0
Motion has been agreedClick to see vote results

That brings today's proceedings to a close.

The meeting ended at 18:42.

QNR

Questions to the First Minister

Mandy Jones: Will the First Minister make a statement on the use of pesticides in Wales?

Mark Drakeford: It is the Welsh Government’s policy to reduce to the lowest possible level the effect of pesticide use on people, wildlife, plants and environment, while making sure that pests, diseases and weeds are effectively controlled.

Sian Gwenllian: Will the First Minister make a statement on the Welsh Government's plans for the M4?

Mark Drakeford: Our recently updated national transport finance plan identifies the extent of planned investment over forthcoming years across the whole of Wales, including the M4.

Simon Thomas: Will the First Minister make a statement on Welsh Government support for Hywel Dda University Health Board's  consultation on the future of health services?

Mark Drakeford: Hywel Dda Local Health Board is currently consulting on proposals to transform community and hospital services in mid and west Wales. We support fully the need for this important consultation and have no preferred outcome and encourage the health board to ensure the public has every opportunity to participate in the process.

Neil Hamilton: Will the First Minister make a statement on Welsh Government support for hospitals in Mid and West Wales?

Mark Drakeford: We continue to invest in healthcare services in mid and west Wales, including £3 million recently for Withybush General Hospital and £25 million for Glangwili General Hospital. We are also investing £6.6 million in Llandrindod Wells County War Memorial Hospital. We will continue to work with health boards in the region to provide healthcare services that deliver the best possible outcomes for patients.

Mike Hedges: Will the First Minister make a statement on progress made by the Welsh Government in reducing obesity levels?

Mark Drakeford: We will consult on a cross-Government obesity strategy later this year. There is already a range of positive action taking place across Wales, such as the Cabinet Secretary for Finance’s recent announcement of an additional £60 million funding over the next three years for active travel.

David Rees: Will the First Minister outline the Welsh Government's priorities for strengthening the economy of Aberavon?

Mark Drakeford: The 'Prosperity for All' national strategy and economic action plan sets out the actions we are taking to improve economic development across Wales, including Aberavon.